Individual
NICHOLAS CHARLES NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
396 BROADWAY, MONTICELLO, NY 12701-1157
(845) 794-8080
(845) 794-8343
Mailing address
396 BROADWAY, MONTICELLO, NY 12701-1157
(845) 794-8080
(845) 794-8343
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25232
NY
Other
Enumeration date
08/16/2012
Last updated
09/25/2015
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