Healthcare Provider Details

I. General information

NPI: 1225560717
Provider Name (Legal Business Name): JENNAPHER TURNER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 04/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 HUGUENOT RD SUITE 102
RICHMOND VA
23235
US

IV. Provider business mailing address

1915 HUGUENOT RD SUITE 102
RICHMOND VA
23235
US

V. Phone/Fax

Practice location:
  • Phone: 804-332-5696
  • Fax: 866-626-4469
Mailing address:
  • Phone: 804-332-5696
  • Fax: 866-626-4469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701006816
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: