Provider Demographics
NPI:1871578757
Name:TURNER, MARIE D (MA LPC)
Entity type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:D
Last Name:TURNER
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 SW HURBERT ST STE 103
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97365-4998
Mailing Address - Country:US
Mailing Address - Phone:541-961-3035
Mailing Address - Fax:541-574-5903
Practice Address - Street 1:607 SW HURBERT ST STE 103
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-4998
Practice Address - Country:US
Practice Address - Phone:541-961-3035
Practice Address - Fax:541-574-5903
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-13
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1759101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health