| Doctor Name: | MRS. VICTORIA JEAN MOTTER |
| NPI Number: | 1982956009 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED. NCC |
| License Number: | 187652EDSPECIALIST I |
| Business Practice Address: | 70 Bayberry Dr Jersey Shore, PA - 177406986 |
| Business Phone Number: | 5702954453 |
| Business Fax Number: | |
| Mailing Address: | 70 Bayberry Dr, JERSEY SHORE |
| State: | PA |
| Postal Code: | 177406986 |
| Phone Number: | 5702954453 |
| Fax Number: | |
| NPI Enumeration Date: | 10/12/2012 |
| NPI Last Update Date: | 10/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | 187652EDSPECIALIST I |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |