Healthcare Provider Details

I. General information

NPI: 1801735188
Provider Name (Legal Business Name): TURN STATE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 4TH ST
DOVER ID
83825
US

IV. Provider business mailing address

PO BOX 487
DOVER ID
83825-0487
US

V. Phone/Fax

Practice location:
  • Phone: 206-920-7168
  • Fax:
Mailing address:
  • Phone: 206-920-7168
  • Fax: 303-484-5030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. MARC HEUSER
Title or Position: OWNER
Credential: LPC, MA, NCC
Phone: 206-920-7168