MEDICARE: JULIE MARIE NOYES LPC

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	101YM0800X	Mental Health Counselor	LPC.0019027	CO

General Provider Information

NPI Number	:	1659977254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE MARIE NOYES LPC

Provider Business Mailing Address
First Line	:	3198 F RD STE 103
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81504-4039
Country	:	US
Telephone Number	:	970-629-3711
Fax Number	:

Provider Business Practice Location Address
First Line	:	3198 F RD STE 103
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81504-4039
Country	:	US
Telephone Number	:	970-775-7061
Fax Number	:

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

Provider Enumeration Date	:	12/08/2020
Last Update Date	:	02/22/2023

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