Provider Demographics
NPI:1043759269
Name:TURNER, CANDACE C (CSS)
Entity Type:Individual
Prefix:
First Name:CANDACE
Middle Name:C
Last Name:TURNER
Suffix:
Gender:F
Credentials:CSS
Other - Prefix:MS
Other - First Name:CANDACE
Other - Middle Name:C
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CSS
Mailing Address - Street 1:860 E RIVER PL STE 100
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39202-3442
Mailing Address - Country:US
Mailing Address - Phone:769-251-5550
Mailing Address - Fax:769-251-5590
Practice Address - Street 1:860 E RIVER PL SUITE 100
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39601
Practice Address - Country:US
Practice Address - Phone:769-251-5550
Practice Address - Fax:769-251-5590
Is Sole Proprietor?:No
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health