# KEVIN GEORGE NOBLE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1174291272
- **Gender:** Man
- **Credential:** LAC, LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 21011864 | SD | — |
| 106H00000X | Marriage & Family Therapist | LMFT11564 | SD | Yes |

## Other

- **Enumeration date:** 09/02/2021
- **Last updated:** 10/22/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 21011864 | LAC LICENSE | SD |
| 01 | — | LMFT11564 | SD DEPARTMENT OF SOCIAL SERVICES BOARD OF EXAMINERS | SD |