Provider Demographics
NPI:1699240622
Name:TURNER, BENJAMIN II (BA)
Entity type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:
Last Name:TURNER
Suffix:II
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:VT
Mailing Address - Zip Code:05773-9800
Mailing Address - Country:US
Mailing Address - Phone:802-446-3577
Mailing Address - Fax:
Practice Address - Street 1:150 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:VT
Practice Address - Zip Code:05758-8800
Practice Address - Country:US
Practice Address - Phone:802-259-2392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-05
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT097.0134334101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health