Provider Demographics
NPI:1508758046
Name:SIGLOCK, VICTORIA (LCAS-A, CCTP)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:SIGLOCK
Suffix:
Gender:F
Credentials:LCAS-A, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4719 FAYETTEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-2113
Mailing Address - Country:US
Mailing Address - Phone:910-739-0050
Mailing Address - Fax:
Practice Address - Street 1:4719 FAYETTEVILLE RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-2113
Practice Address - Country:US
Practice Address - Phone:910-739-0050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical