Provider Demographics
NPI:1104246891
Name:TURNHAM, REBECCA (MHR)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:TURNHAM
Suffix:
Gender:F
Credentials:MHR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 E CINCINNATI AVE
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74403-5535
Mailing Address - Country:US
Mailing Address - Phone:918-681-1113
Mailing Address - Fax:918-681-1116
Practice Address - Street 1:502 E CINCINNATI AVE
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74403-5535
Practice Address - Country:US
Practice Address - Phone:918-681-1113
Practice Address - Fax:918-681-1116
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-21
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor