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NPI Code Detail

MEDICARE: VICTORIA LYNN NOHL MA

MEDICARE: VICTORIA LYNN NOHL MA
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
1101YM0800XMental Health Counselor2640MN

General Provider Information

NPI Number : 1558087387
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA LYNN NOHL MA
Provider Business Mailing Address
First Line : 3909 ALDRICH AVE S UNIT 12
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55409-1467
Country : US
Telephone Number : 612-203-0394
Fax Number :
Provider Business Practice Location Address
First Line : 3601 MINNESOTA DR STE 575
Second Line :
City : EDINA
State : MN
Zip : 55435-5213
Country : US
Telephone Number : 612-223-8898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2022
Last Update Date : 10/13/2022

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Directions to “ VICTORIA LYNN NOHL MA” Practice Location

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