Provider Demographics
NPI:1922511930
Name:NOBLE, RAE C F (LMHC, LCPC, ATR)
Entity Type:Individual
Prefix:
First Name:RAE
Middle Name:C F
Last Name:NOBLE
Suffix:
Gender:F
Credentials:LMHC, LCPC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 N LINN ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-2157
Mailing Address - Country:US
Mailing Address - Phone:815-277-6610
Mailing Address - Fax:
Practice Address - Street 1:673 WESTBURY DR STE 201
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-2732
Practice Address - Country:US
Practice Address - Phone:319-356-6352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-13
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008874101YP2500X
IA088070101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional