Provider Demographics
NPI:1255661443
Name:NOONAN, JENNIFER (LPC, CACIII, CEAP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:NOONAN
Suffix:
Gender:F
Credentials:LPC, CACIII, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 UNIVERSITY BLVD
Mailing Address - Street 2:STE 124
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-4613
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:191 UNIVERSITY BLVD
Practice Address - Street 2:STE 124
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-4613
Practice Address - Country:US
Practice Address - Phone:720-217-3831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-11
Last Update Date:2011-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional