MEDICARE: SALLY NORTON TURNER LPC-I

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	101YM0800X	Mental Health Counselor	64602	TX

General Provider Information

NPI Number	:	1558698548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALLY NORTON TURNER LPC-I

Provider Business Mailing Address
First Line	:	7001 VIVIAN AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75223-1151
Country	:	US
Telephone Number	:	214-629-0553
Fax Number	:

Provider Business Practice Location Address
First Line	:	7001 VIVIAN AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75223-1151
Country	:	US
Telephone Number	:	214-629-0553
Fax Number	:

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

Provider Enumeration Date	:	11/11/2009
Last Update Date	:	11/11/2009

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Directions to “ SALLY NORTON TURNER LPC-I” Practice Location

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