MEDICARE: NOELLE ELAINE STROPPINI

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
1	106H00000X	Marriage & Family Therapist	116802	CA

General Provider Information

NPI Number	:	1710545512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOELLE ELAINE STROPPINI

Provider Business Mailing Address
First Line	:	18555 CLINTON RD
Second Line	:
City	:	JACKSON
State	:	CA
Zip	:	95642-9634
Country	:	US
Telephone Number	:	916-813-6161
Fax Number	:

Provider Business Practice Location Address
First Line	:	7844 MADISON AVE
Second Line	:
City	:	FAIR OAKS
State	:	CA
Zip	:	95628-3519
Country	:	US
Telephone Number	:	916-999-0108
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2019
Last Update Date	:	09/04/2024

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