Todd Noack is a Peer Specialist based in De Witt, IA. Todd Noack practices in De Witt, IA. The NPI Number for Todd Noack is 1366941189 and holds a License No. PR16012 (Iowa).
The current practice location address for Todd Noack is 222 12Th St, De Witt, IA and can be reached out via phone at 563-726-3244.
Location: 222 12Th St, De Witt, IA, 52742-1722
Provider Profile Details
NPI Number
1366941189
Provider Name
Todd Noack
Credential
Provider Entity Type
Individual
Gender
Male
Address
222 12Th St, De Witt, IA, 52742-1722
Phone Number
563-726-3244
Fax Number
Provider Enumeration Date
02/07/2018
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82-0730805 | 05 | IA |
Provider Business Practice Location Address Details
Address
222 12Th St
City
State
Zip
52742-1116
Phone Number
563-726-3244
Fax Number
Provider Business Mailing Address Details
Address
222 12Th St
City
State
Zip
52742-1116
Phone Number
563-726-3244
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
PR16012 (Iowa)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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