Individual
ANN NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CAC III
Contact information
Practice address
3450 BROADWAY ST, BOULDER, CO 80304-1824
(303) 441-1292
(303) 441-1286
Mailing address
3450 BROADWAY ST, BOULDER, CO 80304-1824
(303) 441-1292
(303) 441-1286
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2293
CO
101YP2500X
Professional Counselor
Primary
917
CO
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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