MEDICARE: MS. MARIE A TURNER LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	6401009704	MI

General Provider Information

NPI Number	:	1023349800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIE A TURNER LPC

Provider Business Mailing Address
First Line	:	PO BOX 306
Second Line	:
City	:	BELLEVILLE
State	:	MI
Zip	:	48112-0306
Country	:	US
Telephone Number	:	313-720-4809
Fax Number	:

Provider Business Practice Location Address
First Line	:	2326 E 7 MILE RD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48234-1304
Country	:	US
Telephone Number	:	313-720-4809
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2010
Last Update Date	:	07/08/2024

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