Provider Demographics
NPI:1013202308
Name:VOEGEL, BOBBIE LINN (LCPC)
Entity Type:Individual
Prefix:
First Name:BOBBIE
Middle Name:LINN
Last Name:VOEGEL
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2342
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59403-2342
Mailing Address - Country:US
Mailing Address - Phone:406-216-3277
Mailing Address - Fax:406-452-4412
Practice Address - Street 1:1601 2ND AVE N
Practice Address - Street 2:SUITE 200
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-3259
Practice Address - Country:US
Practice Address - Phone:406-216-3277
Practice Address - Fax:406-452-4412
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1568101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0000746800OtherBLUE CROSS-SHIELD OF MONTANA