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Individual
MR. MICHAEL JOSEPH VODUSEK
Active
Individual
MR. MICHAEL JOSEPH VODUSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16438
PA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC013673
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16438
PA CERTIFICATION BOARD- CADC
PA
01
—
PC013678
LICENSED PROFESSIONAL COUNSELOR
PA
Enumeration date
08/31/2006
Last updated
10/16/2024
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