Healthcare Provider Details

I. General information

NPI: 1083053797
Provider Name (Legal Business Name): PATRICK AARON TURNER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2013
Last Update Date: 03/14/2023
Certification Date: 03/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3657 RICARDO AVE
REDDING CA
96002-2627
US

IV. Provider business mailing address

1850 WALNUT ST STE B
RED BLUFF CA
96080-3611
US

V. Phone/Fax

Practice location:
  • Phone: 530-242-9007
  • Fax: 530-223-2027
Mailing address:
  • Phone: 530-527-8491
  • Fax: 530-527-0240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: