Provider Demographics
NPI:1588047641
Name:TURGESEN, JEAN (LPC)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:
Last Name:TURGESEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 MAIN STREET
Mailing Address - Street 2:508
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97601
Mailing Address - Country:US
Mailing Address - Phone:541-851-9088
Mailing Address - Fax:541-851-9088
Practice Address - Street 1:905 MAIN STREET
Practice Address - Street 2:SUITE 508
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601
Practice Address - Country:US
Practice Address - Phone:541-851-9088
Practice Address - Fax:541-851-9088
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3662101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500700790Medicaid