Provider Demographics
NPI:1093497323
Name:VOSSEKUIL, CHERYL L (LPC, LAC)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:L
Last Name:VOSSEKUIL
Suffix:
Gender:F
Credentials:LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2840 HARRISBURG WAY
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-1382
Mailing Address - Country:US
Mailing Address - Phone:719-233-0430
Mailing Address - Fax:
Practice Address - Street 1:2840 HARRISBURG WAY
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80922-1382
Practice Address - Country:US
Practice Address - Phone:719-233-0430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1488101YP2500X
CO322101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)