Healthcare Provider Details

I. General information

NPI: 1861890543
Provider Name (Legal Business Name): CATHY JO TURNER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2014
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 1ST ST E
JORDAN MN
55352-1502
US

IV. Provider business mailing address

10505 WAYZATA BLVD STE 101
MINNETONKA MN
55305-1507
US

V. Phone/Fax

Practice location:
  • Phone: 612-916-3629
  • Fax:
Mailing address:
  • Phone: 612-916-3629
  • Fax: 952-746-8128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2745
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: