Provider Demographics
NPI:1801163308
Name:FERNWOOD, AURORA CLAIRE (MS, LMFT)
Entity type:Individual
Prefix:
First Name:AURORA
Middle Name:CLAIRE
Last Name:FERNWOOD
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:CHRISTOPHER
Other - Middle Name:
Other - Last Name:FRANKLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LMFT
Mailing Address - Street 1:1511 MILLER AVE NE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-3439
Mailing Address - Country:US
Mailing Address - Phone:253-350-3508
Mailing Address - Fax:
Practice Address - Street 1:1511 MILLER AVE NE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-3439
Practice Address - Country:US
Practice Address - Phone:253-350-3508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-28
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG60139024106H00000X
WALF60314056106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist