Healthcare Provider Details

I. General information

NPI: 1891896486
Provider Name (Legal Business Name): JUDE TURNER MA, LCMHC, LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 09/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

278 PLEASANT ST
CONCORD NH
03301-2551
US

IV. Provider business mailing address

PO BOX 2032
CONCORD NH
03302-2032
US

V. Phone/Fax

Practice location:
  • Phone: 603-226-7570
  • Fax:
Mailing address:
  • Phone: 603-228-1551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number173
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number385
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: