Provider Demographics
NPI:1841546595
Name:FUHRMANN, NICOLE G (LPC)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:G
Last Name:FUHRMANN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:E
Other - Last Name:GONZALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:212 CONROE DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-1950
Mailing Address - Country:US
Mailing Address - Phone:936-444-3546
Mailing Address - Fax:936-760-9101
Practice Address - Street 1:212 CONROE DR
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-1950
Practice Address - Country:US
Practice Address - Phone:936-444-3546
Practice Address - Fax:936-760-9101
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66884101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty