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NPI Code Detail

MEDICARE: LILLIAN RACHEL NOE

MEDICARE: LILLIAN RACHEL NOE
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1891036794
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILLIAN RACHEL NOE
Provider Business Mailing Address
First Line : 2854 KALMIA AVE
Second Line : APT 208
City : BOULDER
State : CO
Zip : 80301-5907
Country : US
Telephone Number : 617-823-6854
Fax Number :
Provider Business Practice Location Address
First Line : 2460 S VINE ST
Second Line :
City : DENVER
State : CO
Zip : 80210-5264
Country : US
Telephone Number : 303-871-5634
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2013
Last Update Date : 08/12/2015

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Directions to “ LILLIAN RACHEL NOE ” Practice Location

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