Provider Demographics
NPI:1053078808
Name:ANDREW, NOELLE KRISTIN (MS, T-LMHC)
Entity Type:Individual
Prefix:
First Name:NOELLE
Middle Name:KRISTIN
Last Name:ANDREW
Suffix:
Gender:F
Credentials:MS, T-LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1941 HAFOR DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-4615
Mailing Address - Country:US
Mailing Address - Phone:319-409-6922
Mailing Address - Fax:
Practice Address - Street 1:215 4TH AVE SE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52401-1844
Practice Address - Country:US
Practice Address - Phone:612-749-3746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health