| 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 |