Provider Demographics
NPI:1275879074
Name:VOEGELI, CHARLES P (LPC-MH)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:P
Last Name:VOEGELI
Suffix:
Gender:M
Credentials:LPC-MH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 S MAC ARTHUR LN STE 104
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-5407
Mailing Address - Country:US
Mailing Address - Phone:605-665-0841
Mailing Address - Fax:605-665-0096
Practice Address - Street 1:5000 S MAC ARTHUR LN STE 104
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-5407
Practice Address - Country:US
Practice Address - Phone:605-349-2646
Practice Address - Fax:605-250-0465
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-26
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPC7066101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health