| NPI | 1427677467 |
|---|---|
| Doing Business As | MICHAEL NOLL COUNSELING |
| Entity Type | Organization |
| Authorized Contact | MICHAEL NOLL Owner/Therapist 920-215-1553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-15 |