Individual
MR. ALBERT TOBIAS NOELLE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
702 WEST ALTO ROAD, KOKOMO, IN 46902-6459
(765) 453-7422
(765) 453-3773
Mailing address
PO BOX 6459, KOKOMO, IN 46904-6459
(765) 453-7422
(765) 453-3773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001764A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100154150A
—
IN
Enumeration date
08/19/2005
Last updated
05/01/2013
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