Provider Demographics
NPI:1467635359
Name:NAIDEN, NOELLE MARIE (LCPC)
Entity Type:Individual
Prefix:
First Name:NOELLE
Middle Name:MARIE
Last Name:NAIDEN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5141 ELK RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-5228
Mailing Address - Country:US
Mailing Address - Phone:406-543-7780
Mailing Address - Fax:
Practice Address - Street 1:5141 ELK RIDGE RD
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-5228
Practice Address - Country:US
Practice Address - Phone:406-543-7780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-13
Last Update Date:2015-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT8216101YP2500X
MT215041103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool