Healthcare Provider Details
I. General information
NPI: 1841851193
Provider Name (Legal Business Name): ERIN LYNN TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/27/2019
Last Update Date: 06/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5005 BOWLING ST SW STE C
CEDAR RAPIDS IA
52404-5070
US
IV. Provider business mailing address
5005 BOWLING ST SW STE C
CEDAR RAPIDS IA
52404-5070
US
V. Phone/Fax
- Phone: 319-531-3824
- Fax:
- Phone: 319-531-3824
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: