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NPI Code Detail

MEDICARE: HANNAH SPIKE NOEL LCMHC

MEDICARE: HANNAH SPIKE NOEL LCMHC
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 Counselor2629MN
2101YM0800XMental Health Counselor2774NH

General Provider Information

NPI Number : 1902407943
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH SPIKE NOEL LCMHC
Provider Business Mailing Address
First Line : 652 BIELENBERG DR STE 104
Second Line :
City : WOODBURY
State : MN
Zip : 55125-4416
Country : US
Telephone Number : 651-313-8080
Fax Number :
Provider Business Practice Location Address
First Line : 652 BIELENBERG DR STE 104
Second Line :
City : WOODBURY
State : MN
Zip : 55125-4416
Country : US
Telephone Number : 651-313-8080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2020
Last Update Date : 02/14/2024

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Directions to “ HANNAH SPIKE NOEL LCMHC” Practice Location

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