Provider Demographics
NPI:1245579598
Name:VOIT, GENA MARIE (MA, MFT)
Entity Type:Individual
Prefix:MRS
First Name:GENA
Middle Name:MARIE
Last Name:VOIT
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7925 FOUNTAIN ST
Mailing Address - Street 2:
Mailing Address - City:BURTCHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48059-1923
Mailing Address - Country:US
Mailing Address - Phone:810-327-0128
Mailing Address - Fax:
Practice Address - Street 1:1220 6TH ST
Practice Address - Street 2:
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060-5349
Practice Address - Country:US
Practice Address - Phone:810-987-8772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4101006555106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist