Provider Demographics
NPI:1144102401
Name:NOHR, GAIL MARIE (SACT)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:MARIE
Last Name:NOHR
Suffix:
Gender:F
Credentials:SACT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1085
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54305-1085
Mailing Address - Country:US
Mailing Address - Phone:920-435-2093
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1085
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54305-1085
Practice Address - Country:US
Practice Address - Phone:920-435-2093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)