Individual
CHERYLYNN NMI NOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, CSAC, CSIT
Contact information
Practice address
2814 S 108TH ST, WEST ALLIS, WI 53227-3224
(414) 885-3525
(262) 643-4617
Mailing address
W193N16123 STONEHEDGE DR, JACKSON, WI 53037-9525
(262) 305-0104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15378-131
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16638-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
17039-133
WI
Other
Enumeration date
09/11/2007
Last updated
08/01/2023
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