MEDICARE: FELICIA TURNER

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
1	101Y00000X	Counselor	CI5284	NV
2	101YM0800X	Mental Health Counselor	CI5284	NV
3	101YS0200X	School Counselor	42389	NV
4	101YP2500X	Professional Counselor	CI5284	NV

General Provider Information

NPI Number	:	1831878511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELICIA TURNER

Provider Business Mailing Address
First Line	:	1936 LA CALERA AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-2078
Country	:	US
Telephone Number	:	702-348-7849
Fax Number	:

Provider Business Practice Location Address
First Line	:	1936 LA CALERA AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-2078
Country	:	US
Telephone Number	:	702-348-7849
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2023
Last Update Date	:	08/03/2023

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Directions to “ FELICIA TURNER ” Practice Location

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