Provider Demographics
NPI:1609182021
Name:FERRARI, NICOLE MARIE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:MARIE
Last Name:FERRARI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:NICOLE
Other - Middle Name:MARIE
Other - Last Name:HESPENHIDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:IMF
Mailing Address - Street 1:1000 W TOWN AND COUNTRY RD UNIT 324
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4764
Mailing Address - Country:US
Mailing Address - Phone:657-445-3700
Mailing Address - Fax:
Practice Address - Street 1:1000 W TOWN AND COUNTRY RD UNIT 324
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4764
Practice Address - Country:US
Practice Address - Phone:657-445-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-23
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA93591106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist