# MR. KYLE WOCKENFUSS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1164860102
- **Gender:** Man
- **Credential:** LMHP, CPC, NCC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 5154 | NE | Yes |
| 101YM0800X | Mental Health Counselor | 9988 | NE | — |

## Other

- **Enumeration date:** 06/12/2013
- **Last updated:** 05/26/2020