Provider Demographics
NPI:1508165788
Name:NOBLE, JANICE MARY (M ED, SAC, LMHC)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:MARY
Last Name:NOBLE
Suffix:
Gender:F
Credentials:M ED, SAC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 MARKET ST STE 14
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02777-3998
Mailing Address - Country:US
Mailing Address - Phone:401-474-7351
Mailing Address - Fax:
Practice Address - Street 1:25 MARKET ST STE 14
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777-3998
Practice Address - Country:US
Practice Address - Phone:401-474-7351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-27
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
7629101YM0800X
101YM0800X
MA7629101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty