Provider Demographics
NPI:1073716924
Name:TURNER, JOHN ERIC (MSW)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ERIC
Last Name:TURNER
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:IN
Mailing Address - Zip Code:47274-2110
Mailing Address - Country:US
Mailing Address - Phone:812-523-6221
Mailing Address - Fax:812-523-0031
Practice Address - Street 1:210 W 2ND ST
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:IN
Practice Address - Zip Code:47274-2110
Practice Address - Country:US
Practice Address - Phone:812-523-6221
Practice Address - Fax:812-523-0031
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INNOT REQUIRED101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)