Provider Demographics
NPI:1154013068
Name:VOECKLER, AMBER (LPC)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:
Last Name:VOECKLER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 S BROAD MOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:FRACKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17931-2201
Mailing Address - Country:US
Mailing Address - Phone:570-768-6139
Mailing Address - Fax:
Practice Address - Street 1:217 S BROAD MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:FRACKVILLE
Practice Address - State:PA
Practice Address - Zip Code:17931-2201
Practice Address - Country:US
Practice Address - Phone:570-768-6139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC015366101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional