Provider Demographics
NPI:1740517606
Name:VOSS, RACHELLE MARIE (LPCC)
Entity type:Individual
Prefix:MS
First Name:RACHELLE
Middle Name:MARIE
Last Name:VOSS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:MS
Other - First Name:BERYL
Other - Middle Name:ZELDA
Other - Last Name:SOLARZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:251 COUNTY ROAD 120
Mailing Address - Street 2:P.O. BOX 230
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-4872
Mailing Address - Country:US
Mailing Address - Phone:320-258-3833
Mailing Address - Fax:320-253-5741
Practice Address - Street 1:251 COUNTY ROAD 120
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-4872
Practice Address - Country:US
Practice Address - Phone:320-258-3833
Practice Address - Fax:320-253-5741
Is Sole Proprietor?:No
Enumeration Date:2009-11-12
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC00109101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health