MEDICARE: MRS. NICOLE L TURNER LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	1975	NC
2	106H00000X	Marriage & Family Therapist	60504223	WA
3	106H00000X	Marriage & Family Therapist	F.2500545	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	60504223	OTHER	WA	106H00000X

General Provider Information

NPI Number	:	1063829182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NICOLE L TURNER LMFT

Provider Business Mailing Address
First Line	:	4711 44TH AVE SW STE C
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-4401
Country	:	US
Telephone Number	:	910-258-0895
Fax Number	:

Provider Business Practice Location Address
First Line	:	4711 44TH AVE SW STE C
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-4401
Country	:	US
Telephone Number	:	910-258-0895
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2014
Last Update Date	:	12/12/2025

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