MEDICARE: FAWN APRIL VOGT LPCC, LADC

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	101YP2500X	Professional Counselor	CC00373	MN
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	301211	MN

General Provider Information

NPI Number	:	1558549832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAWN APRIL VOGT LPCC, LADC

Provider Business Mailing Address
First Line	:	4284 DAHLBERG DR
Second Line	:
City	:	GOLDEN VALLEY
State	:	MN
Zip	:	55422-4805
Country	:	US
Telephone Number	:	952-428-6332
Fax Number	:	952-562-2827

Provider Business Practice Location Address
First Line	:	4284 DAHLBERG DR
Second Line	:
City	:	GOLDEN VALLEY
State	:	MN
Zip	:	55422-4805
Country	:	US
Telephone Number	:	952-428-6332
Fax Number	:	952-562-2827

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

Provider Enumeration Date	:	02/08/2008
Last Update Date	:	06/25/2026

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