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NPI Code Detail

MEDICARE: ANASTASIA TURNER LCDC

MEDICARE: ANASTASIA TURNER LCDC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor15518TX

General Provider Information

NPI Number : 1326644758
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANASTASIA TURNER LCDC
Provider Business Mailing Address
First Line : 7822 DRIFTWOOD DR
Second Line :
City : SACHSE
State : TX
Zip : 75048-6543
Country : US
Telephone Number : 214-664-2069
Fax Number :
Provider Business Practice Location Address
First Line : 5228 VILLAGE CREEK DR STE 100
Second Line :
City : PLANO
State : TX
Zip : 75093-4430
Country : US
Telephone Number : 972-913-4738
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2020
Last Update Date : 12/10/2020

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Directions to “ ANASTASIA TURNER LCDC” Practice Location

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