Provider Demographics
NPI:1548855091
Name:TURNER, ANDREW III (MED, MA, LPC,NCC)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:
Last Name:TURNER
Suffix:III
Gender:M
Credentials:MED, MA, LPC,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 STEPHENS ST APT B6
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-3287
Mailing Address - Country:US
Mailing Address - Phone:862-201-9205
Mailing Address - Fax:
Practice Address - Street 1:178 STEPHENS ST APT B6
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-3287
Practice Address - Country:US
Practice Address - Phone:862-201-9205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-06
Last Update Date:2021-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty