Doctor Name: | MR. MICHAEL J NOBLIN |
NPI Number: | 1609115088 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., LMHCA |
License Number: | MC 60239413 |
Business Practice Address: | 26420 Ne Virginia St Duvall, WA - 980195801 |
Business Phone Number: | 4258449669 |
Business Fax Number: | 4257886716 |
Mailing Address: | 414 Front St N, ISSAQUAH |
State: | WA |
Postal Code: | 980272914 |
Phone Number: | 4258449669 |
Fax Number: | 4257886716 |
NPI Enumeration Date: | 02/05/2013 |
NPI Last Update Date: | 02/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MC 60239413 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |