Provider Demographics
NPI:1811519630
Name:FRANCO, VICTOR DANIEL (LPC, LCAT, ATR)
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:DANIEL
Last Name:FRANCO
Suffix:
Gender:M
Credentials:LPC, LCAT, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 PATTON ST
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11717-3413
Mailing Address - Country:US
Mailing Address - Phone:631-994-0580
Mailing Address - Fax:
Practice Address - Street 1:516 E KING ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-3011
Practice Address - Country:US
Practice Address - Phone:631-994-0580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-14
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002463-01221700000X
PAPC017927101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist