Provider Demographics
NPI:1467570184
Name:MONROE, NORETTA LEE (MS)
Entity Type:Individual
Prefix:
First Name:NORETTA
Middle Name:LEE
Last Name:MONROE
Suffix:
Gender:F
Credentials:MS
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 6283
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95927-6283
Mailing Address - Country:US
Mailing Address - Phone:530-781-2155
Mailing Address - Fax:530-342-5384
Practice Address - Street 1:140 AMBER GROVE DR STE 155
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973
Practice Address - Country:US
Practice Address - Phone:530-781-2155
Practice Address - Fax:538-342-5384
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2018-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA163101YP2500X
CA49850106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional