Provider Demographics
NPI:1922644087
Name:DOONEY, NICOLE M (LMFTA)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:M
Last Name:DOONEY
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 CLUB RD
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2420
Mailing Address - Country:US
Mailing Address - Phone:541-393-5983
Mailing Address - Fax:
Practice Address - Street 1:66 CLUB RD
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2420
Practice Address - Country:US
Practice Address - Phone:541-393-5983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-25
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist