MEDICARE: JAHMILLAH ANTOINETTE TURNEUR

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	106S00000X	Behavior Technician
2	175T00000X	Peer Specialist		WA

General Provider Information

NPI Number	:	1861363996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAHMILLAH ANTOINETTE TURNEUR

Provider Business Mailing Address
First Line	:	9330 59TH AVE SW
Second Line	:
City	:	LAKEWOOD
State	:	WA
Zip	:	98499-2858
Country	:	US
Telephone Number	:	253-581-7020
Fax Number	:	253-620-5140

Provider Business Practice Location Address
First Line	:	9330 59TH AVE SW
Second Line	:
City	:	LAKEWOOD
State	:	WA
Zip	:	98499-2858
Country	:	US
Telephone Number	:	253-581-7020
Fax Number	:	253-620-5140

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

Provider Enumeration Date	:	09/12/2025
Last Update Date	:	03/17/2026

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Directions to “ JAHMILLAH ANTOINETTE TURNEUR ” Practice Location

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