Healthcare Provider Details

I. General information

NPI: 1336244086
Provider Name (Legal Business Name): DANIEL NOEL MS, IMFT, PCC, LICDC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 10/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 SYCAMORE ST
CINCINNATI OH
45202-1305
US

IV. Provider business mailing address

909 SYCAMORE ST
CINCINNATI OH
45202-1305
US

V. Phone/Fax

Practice location:
  • Phone: 513-833-5544
  • Fax:
Mailing address:
  • Phone: 513-833-5544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCDC.131092
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE. 0501309
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberF. 0500052
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: