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Individual
MRS. JULISSA B NOBLE
Active
Individual
MRS. JULISSA B NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAODC-A-CS,LAADC-CA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1612
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780704411
—
CA
05
—
1780704411
—
MA
Enumeration date
03/29/2007
Last updated
04/24/2019
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