Provider Demographics
NPI:1427358431
Name:VOECK, MICHAELA L (LPC, CSAC)
Entity Type:Individual
Prefix:
First Name:MICHAELA
Middle Name:L
Last Name:VOECK
Suffix:
Gender:F
Credentials:LPC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1532 W BROADWAY STE 202
Mailing Address - Street 2:
Mailing Address - City:MONONA
Mailing Address - State:WI
Mailing Address - Zip Code:53713-1828
Mailing Address - Country:US
Mailing Address - Phone:608-661-2829
Mailing Address - Fax:
Practice Address - Street 1:1532 W BROADWAY STE 202
Practice Address - Street 2:
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53713-1828
Practice Address - Country:US
Practice Address - Phone:608-661-2829
Practice Address - Fax:608-661-0907
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15597101YA0400X
WI4628101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100013316Medicaid