Provider Demographics
NPI:1912553413
Name:VOS, CAYLEE (LPC-IT)
Entity Type:Individual
Prefix:
First Name:CAYLEE
Middle Name:
Last Name:VOS
Suffix:
Gender:F
Credentials:LPC-IT
Other - Prefix:
Other - First Name:CAYLEE
Other - Middle Name:
Other - Last Name:NATZKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1509 S COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-6152
Mailing Address - Country:US
Mailing Address - Phone:920-722-8150
Mailing Address - Fax:
Practice Address - Street 1:1509 S COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:NEENAH
Practice Address - State:WI
Practice Address - Zip Code:54956-6152
Practice Address - Country:US
Practice Address - Phone:920-722-8150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4411-226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health