Provider Demographics
NPI:1063829182
Name:TURNER, NICOLE L (LMFT)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:L
Last Name:TURNER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:NICOLE
Other - Middle Name:L
Other - Last Name:MCMANUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:3003 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-3856
Mailing Address - Country:US
Mailing Address - Phone:425-466-5806
Mailing Address - Fax:
Practice Address - Street 1:3003 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-3856
Practice Address - Country:US
Practice Address - Phone:910-258-0895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-21
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60504223106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA60504223Other106H00000X