| Doctor Name: | MR. WILLIAM HENRY NOELKE |
| NPI Number: | 1669560132 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, LPC, LMSW |
| License Number: | 6401002946 |
| Business Practice Address: | 595 S Lakeshore Rd Rr # 1 Port Sanilac, MI - 484699632 |
| Business Phone Number: | 8106228918 |
| Business Fax Number: | |
| Mailing Address: | 595 S Lakeshore Rd, Rr # 1 PORT SANILAC |
| State: | MI |
| Postal Code: | 484699632 |
| Phone Number: | 8106228918 |
| Fax Number: | |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401002946 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |