Provider Demographics
NPI:1407991854
Name:VOSS, SUSAN KAY (MA,LPCC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:KAY
Last Name:VOSS
Suffix:
Gender:F
Credentials:MA,LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6160 SUMMIT DR N STE 375
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55430-2251
Mailing Address - Country:US
Mailing Address - Phone:763-560-8331
Mailing Address - Fax:763-560-8431
Practice Address - Street 1:6160 SUMMIT DR N STE 375
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55430-2251
Practice Address - Country:US
Practice Address - Phone:763-560-8331
Practice Address - Fax:763-560-8431
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC00063101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional