Doctor Name: | MS. JUANITA NANCY TRIPLETT |
NPI Number: | 1972690147 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LCPC |
License Number: | 108 |
Business Practice Address: | 300 Noxon Ave Noxon, MT - 598539762 |
Business Phone Number: | 4068273357 |
Business Fax Number: | |
Mailing Address: | Po Box 1234, THOMPSON FALLS |
State: | MT |
Postal Code: | 598731234 |
Phone Number: | 4068273357 |
Fax Number: | |
NPI Enumeration Date: | 10/06/2006 |
NPI Last Update Date: | 04/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 108 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |