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Individual
OULU MARIE NOONAN
Active
Individual
OULU MARIE NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-R
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
26-04-11855
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-22-1648
OR
174400000X
Specialist
26-QMHA-R-8389
OR
175T00000X
Peer Specialist
26-CRM-5316
OR
225400000X
Rehabilitation Practitioner
Primary
26-QMHA-R-8389
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500808233
—
OR
Enumeration date
05/30/2021
Last updated
06/01/2026
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