Healthcare Provider Details

I. General information

NPI: 1376713156
Provider Name (Legal Business Name): DEIDRE MARIE TURNER M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DEIDRE M RICHBURG

II. Dates (important events)

Enumeration Date: 03/07/2008
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 N 22ND ST
SAINT JOSEPH MO
64506-2604
US

IV. Provider business mailing address

724 N 22ND ST
SAINT JOSEPH MO
64506-2604
US

V. Phone/Fax

Practice location:
  • Phone: 816-364-1501
  • Fax:
Mailing address:
  • Phone: 816-364-1501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2008006348
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2008006348
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: