Provider Demographics
NPI:1407494560
Name:NOACK, ANGIE (LPC)
Entity Type:Individual
Prefix:
First Name:ANGIE
Middle Name:
Last Name:NOACK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9185 E KENYON AVE STE 195
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1822
Mailing Address - Country:US
Mailing Address - Phone:720-649-6376
Mailing Address - Fax:
Practice Address - Street 1:9185 E KENYON AVE STE 195
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1822
Practice Address - Country:US
Practice Address - Phone:720-649-6376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-19
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0015260101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional