Individual
MR. JOHN EDWARD NOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS LPC
Contact information
Practice address
101 BROAD ST, LAKE GENEVA, WI 53147-2000
(262) 248-7942
(262) 248-1202
Mailing address
440 HILLCREST DR, FONTANA, WI 53125-1458
(262) 215-4767
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3272-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40952400
—
WI
Enumeration date
08/11/2009
Last updated
08/11/2009
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