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NPI Code Detail

MEDICARE: VICTORIA DOMINIQUE TURNER-SLACK LMFT

MEDICARE: VICTORIA DOMINIQUE TURNER-SLACK LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist163133CA
2101YP2500XProfessional Counselor12426CA

General Provider Information

NPI Number : 1316694987
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA DOMINIQUE TURNER-SLACK LMFT
Provider Business Mailing Address
First Line : 675 S ARROYO PKWY STE 420
Second Line :
City : PASADENA
State : CA
Zip : 91105-3215
Country : US
Telephone Number : 925-282-1778
Fax Number :
Provider Business Practice Location Address
First Line : 675 S ARROYO PKWY STE 420
Second Line :
City : PASADENA
State : CA
Zip : 91105-3215
Country : US
Telephone Number : 925-282-1778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2022
Last Update Date : 05/26/2026

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Directions to “ VICTORIA DOMINIQUE TURNER-SLACK LMFT” Practice Location

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