Healthcare Provider Details

I. General information

NPI: 1982956009
Provider Name (Legal Business Name): VICTORIA JEAN MOTTER M.ED. NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2012
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 HICKORY DR
LOCK HAVEN PA
17745-1630
US

IV. Provider business mailing address

43 HICKORY DR
LOCK HAVEN PA
17745-1630
US

V. Phone/Fax

Practice location:
  • Phone: 270-366-2754
  • Fax:
Mailing address:
  • Phone: 270-366-2754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC013344
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC01334
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: