Provider Demographics
NPI:1558791046
Name:FUHRIMAN, NANCY (MS, LMHAC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:FUHRIMAN
Suffix:
Gender:F
Credentials:MS, LMHAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 W BROADWAY AVE STE A
Mailing Address - Street 2:
Mailing Address - City:MOSES LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98837-2604
Mailing Address - Country:US
Mailing Address - Phone:509-764-4164
Mailing Address - Fax:509-764-4165
Practice Address - Street 1:1021 W BROADWAY AVE STE A
Practice Address - Street 2:
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-2604
Practice Address - Country:US
Practice Address - Phone:509-764-4164
Practice Address - Fax:509-764-4165
Is Sole Proprietor?:No
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC 60164765101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health