MEDICARE: MRS. MICHELE DIANE TURNER LPCC-S, LICDC-CS

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	071036	OH
2	101YP2500X	Professional Counselor	C.0700428	OH

General Provider Information

NPI Number	:	1679839344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELE DIANE TURNER LPCC-S, LICDC-CS

Provider Business Mailing Address
First Line	:	7651 CHAGRIN RD
Second Line	:
City	:	CHAGRIN FALLS
State	:	OH
Zip	:	44023-6331
Country	:	US
Telephone Number	:	216-288-7460
Fax Number	:

Provider Business Practice Location Address
First Line	:	7519 MENTOR AVE # A103
Second Line	:
City	:	MENTOR
State	:	OH
Zip	:	44060-5434
Country	:	US
Telephone Number	:	216-282-3303
Fax Number	:

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

Provider Enumeration Date	:	04/07/2012
Last Update Date	:	11/12/2020

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Directions to “ MRS. MICHELE DIANE TURNER LPCC-S, LICDC-CS” Practice Location

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