Provider Demographics
NPI:1558558635
Name:AUER, NICOLE LANTHIER (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:LANTHIER
Last Name:AUER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MS
Other - First Name:NICOLE
Other - Middle Name:JENNIFER
Other - Last Name:LANTHIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:PO BOX 353
Mailing Address - Street 2:
Mailing Address - City:TALENT
Mailing Address - State:OR
Mailing Address - Zip Code:97540-0353
Mailing Address - Country:US
Mailing Address - Phone:541-210-9331
Mailing Address - Fax:
Practice Address - Street 1:202 S 1ST ST
Practice Address - Street 2:
Practice Address - City:TALENT
Practice Address - State:OR
Practice Address - Zip Code:97540-7002
Practice Address - Country:US
Practice Address - Phone:541-210-9331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-02
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
ORC2565101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health