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NPI Code Detail

MEDICARE: VINCENT B VOGT MA, LPC

MEDICARE: VINCENT B VOGT MA, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor
3101YP2500XProfessional Counselor8104-125WI

General Provider Information

NPI Number : 1003567140
Entity Type Code : Individual
Provider Name (Legal Business Name) : VINCENT B VOGT MA, LPC
Provider Business Mailing Address
First Line : 1508 E IRVING PL APT 2
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-1044
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 E WISCONSIN AVE STE 1500
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-4808
Country : US
Telephone Number : 262-789-1191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2022
Last Update Date : 02/28/2022

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Directions to “ VINCENT B VOGT MA, LPC” Practice Location

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