Provider Demographics
NPI:1689054793
Name:NOWELL, ERIN BROSNAN (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:BROSNAN
Last Name:NOWELL
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:KIT
Other - Middle Name:
Other - Last Name:NOWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:312 E JONES ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27601-1028
Mailing Address - Country:US
Mailing Address - Phone:919-610-7428
Mailing Address - Fax:
Practice Address - Street 1:312 E JONES ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27601-1028
Practice Address - Country:US
Practice Address - Phone:919-610-7428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-03
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1844106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist