Provider Demographics
NPI:1114527660
Name:GARNER, ANNEVA NOELLE KNAPP (MA, RSMT, LPCC)
Entity Type:Individual
Prefix:MRS
First Name:ANNEVA
Middle Name:NOELLE KNAPP
Last Name:GARNER
Suffix:
Gender:F
Credentials:MA, RSMT, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3363 HICKOK PL
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1984
Mailing Address - Country:US
Mailing Address - Phone:720-999-3921
Mailing Address - Fax:
Practice Address - Street 1:3363 HICKOK PL
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1984
Practice Address - Country:US
Practice Address - Phone:720-999-3921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0017480101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health