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Individual
KEVIN GEORGE NOBLE
Active
Individual
KEVIN GEORGE NOBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21011864
SD
106H00000X
Marriage & Family Therapist
Primary
LMFT11564
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21011864
LAC LICENSE
SD
01
—
LMFT11564
SD DEPARTMENT OF SOCIAL SERVICES BOARD OF EXAMINERS
SD
Enumeration date
09/02/2021
Last updated
10/22/2024
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