Provider Demographics
NPI:1043577398
Name:NOONE, AMBER CAMILLE (LCPC)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:CAMILLE
Last Name:NOONE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3089
Mailing Address - Street 2:CENTER FOR MENTAL HEALTH
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59403-3089
Mailing Address - Country:US
Mailing Address - Phone:406-761-2100
Mailing Address - Fax:406-761-2107
Practice Address - Street 1:630 SACAJAWEA DR
Practice Address - Street 2:CENTER FOR MENTAL HEALTH/SACAJAWEA ELEMENTARY SCHOOL
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59404-1222
Practice Address - Country:US
Practice Address - Phone:406-761-2100
Practice Address - Fax:406-761-2107
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2012-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT2243101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0000747490OtherBLUE CROSS-SHIELD OF MONTANA