NPI | 1891034096 |
---|---|
Professional Name | MICHAEL WILLIAM NOLL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 5752) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
101YP2500X Counselor, Professional (Licence: WI 5752) | |
Enumeration Date | 2013-02-07 |
Last Update Date | 2024-09-17 |