Healthcare Provider Details

I. General information

NPI: 1841965753
Provider Name (Legal Business Name): DOROTHEA THURNER-MARTIN MA, MS, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2021
Last Update Date: 07/12/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2472 PATTERSON RD UNIT 16
GRAND JUNCTION CO
81505-1100
US

IV. Provider business mailing address

2472 PATTERSON RD UNIT 16
GRAND JUNCTION CO
81505-1100
US

V. Phone/Fax

Practice location:
  • Phone: 970-778-3030
  • Fax: 855-203-0839
Mailing address:
  • Phone: 970-778-3030
  • Fax: 855-203-0839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2364-01
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number2364-00
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: