Provider Demographics
NPI:1306519277
Name:TURNER, CHANDRA UNIQUE
Entity type:Individual
Prefix:
First Name:CHANDRA
Middle Name:UNIQUE
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHANDRA
Other - Middle Name:UNIQUE
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:223 E FIG AVE
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-4134
Mailing Address - Country:US
Mailing Address - Phone:626-803-8423
Mailing Address - Fax:
Practice Address - Street 1:223 E FIG AVE
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-4134
Practice Address - Country:US
Practice Address - Phone:626-803-8423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)