Provider Demographics
NPI:1942665864
Name:TURNER DOLAN, LAUREN COWDEN
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:COWDEN
Last Name:TURNER DOLAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:COWDEN
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:888 STATE HIGHWAY 165
Mailing Address - Street 2:
Mailing Address - City:PLACITAS
Mailing Address - State:NM
Mailing Address - Zip Code:87043-8728
Mailing Address - Country:US
Mailing Address - Phone:505-369-6351
Mailing Address - Fax:
Practice Address - Street 1:888 STATE HIGHWAY 165
Practice Address - Street 2:
Practice Address - City:PLACITAS
Practice Address - State:NM
Practice Address - Zip Code:87043-8728
Practice Address - Country:US
Practice Address - Phone:505-369-6351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-18
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCCMH0196571101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional