Basic Information
| Provider Information | |||||||||
| NPI: | 1306331954 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NOBLE | ||||||||
| FirstName: | CHRISTINA | ||||||||
| MiddleName: | ALICIA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 115 KEATING DR | ||||||||
| Address2: | |||||||||
| City: | BELLE CHASSE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700371629 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5043935750 | ||||||||
| FaxNumber: | 5043935760 | ||||||||
| Practice Location | |||||||||
| Address1: | 115 KEATING DR | ||||||||
| Address2: | |||||||||
| City: | BELLE CHASSE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700371629 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5043935750 | ||||||||
| FaxNumber: | 5043935760 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/26/2018 | ||||||||
| LastUpdateDate: | 06/26/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 7506 | LA | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.