Provider Demographics
NPI:1538624192
Name:TURNER, ALLYN JUSTIN (MHC)
Entity type:Individual
Prefix:
First Name:ALLYN
Middle Name:JUSTIN
Last Name:TURNER
Suffix:
Gender:M
Credentials:MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 LILAC DR APT 18
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-3273
Mailing Address - Country:US
Mailing Address - Phone:585-755-0554
Mailing Address - Fax:
Practice Address - Street 1:15 LILAC DR APT 18
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-3273
Practice Address - Country:US
Practice Address - Phone:585-755-0554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-07
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health