| Michael Noll Counseling, Llc | |
|
1477 Kenwood Dr Ste 104 Menasha WI 54952-1160 | |
| (920) 215-1553 | |
| (920) 821-1432 |
| Full Name | Michael Noll Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1477 Kenwood Dr Ste 104, Menasha, Wisconsin |
| Authorized Official Name and Position | Michael Noll (OWNER/THERAPIST) |
| Authorized Official Contact | 9202151553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Noll Counseling, Llc 1477 Kenwood Dr Ste 104 Menasha WI 54952-1160 Ph: (920) 215-1553 | Michael Noll Counseling, Llc 1477 Kenwood Dr Ste 104 Menasha WI 54952-1160 Ph: (920) 215-1553 |
| NPI Number | 1427677467 |
|---|---|
| Provider Enumeration Date | 04/09/2020 |
| Last Update Date | 04/15/2020 |
| Certification Date | 04/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427677467 | NPI | - | NPPES |
| 100028111 | Medicaid | WI |
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