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Provider Information for 1811922651


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JOHN PENN TURNER LPC, LSATP


Sex: Male

NPI: 1811922651
Last Updated: 2012-01-04
Certification Date:

Details

NameValue
NPI1811922651
Enumeration Date2006-07-11
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 106 CATY LN
CHARLOTTESVILLE, VA 22901-3208
United States

Phone: 434-978-3900 | Fax:434-978-3933
 
Primary Practice Address 106 CATY LN
CHARLOTTESVILLE, VA 22901-3208
United States

Phone: 434-978-3900 | Fax:434-978-3933
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDVA010052661
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YA0400X - Counselor - Addiction (Substance Use Disorder)VA718000055
Yes 101YP2500X - Counselor - ProfessionalVA701002755
No 101YP2500X - Counselor - ProfessionalNC5588