MEDICARE: MRS. GENA MARIE VOIT MA, MFT

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
1	106H00000X	Marriage & Family Therapist	4101006555	MI

General Provider Information

NPI Number	:	1245579598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GENA MARIE VOIT MA, MFT

Provider Business Mailing Address
First Line	:	7925 FOUNTAIN ST
Second Line	:
City	:	BURTCHVILLE
State	:	MI
Zip	:	48059-1923
Country	:	US
Telephone Number	:	810-327-0128
Fax Number	:

Provider Business Practice Location Address
First Line	:	1220 6TH ST
Second Line	:
City	:	PORT HURON
State	:	MI
Zip	:	48060-5349
Country	:	US
Telephone Number	:	810-987-8772
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2013
Last Update Date	:	02/06/2013

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