Individual
KACIE LYNN VOGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
1004 LINCOLN AVE, WAMEGO, KS 66547-1514
(785) 844-5992
Mailing address
1004 LINCOLN AVE, WAMEGO, KS 66547-1514
(785) 844-5992
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
031
KS
1041C0700X
Clinical Social Worker
Primary
5186
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201167360C
—
KS
Enumeration date
06/07/2017
Last updated
10/19/2020
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