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Individual

MR. MICHAEL W NOLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1477 KENWOOD DR STE 104, MENASHA, WI 54952-1160
(920) 215-1553
(920) 821-1432
Mailing address
1477 KENWOOD DR STE 200, MENASHA, WI 54952-1160
(920) 215-1553
(920) 821-1432

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5752
WI
101YP2500X
Professional Counselor
5752
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100028111
WI
Enumeration date
02/07/2013
Last updated
09/17/2024
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