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NPI Code Detail

MEDICARE: MR. TODD ALLEN NOGGLE MS, LPC, NCC, LCPC

MEDICARE: MR. TODD ALLEN NOGGLE MS, LPC, NCC, LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor3277-125WI
2101YP2500XProfessional CounselorIL

General Provider Information

NPI Number : 1699770560
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TODD ALLEN NOGGLE MS, LPC, NCC, LCPC
Provider Business Mailing Address
First Line : 20 E MILWAUKEE ST
Second Line : STE 210
City : JANESVILLE
State : WI
Zip : 53545-3061
Country : US
Telephone Number : 608-755-1475
Fax Number :
Provider Business Practice Location Address
First Line : 20 E MILWAUKEE ST
Second Line : STE 210
City : JANESVILLE
State : WI
Zip : 53545-3061
Country : US
Telephone Number : 608-755-1475
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 07/08/2007

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