Provider Demographics
NPI:1164839023
Name:TURNER, ANGELA JAYNE (MA)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:JAYNE
Last Name:TURNER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 S CHESTNUT AVE # 14
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93702-4709
Mailing Address - Country:US
Mailing Address - Phone:559-453-8060
Mailing Address - Fax:559-453-8040
Practice Address - Street 1:4812 E BUTLER AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-5014
Practice Address - Country:US
Practice Address - Phone:559-453-8060
Practice Address - Fax:559-453-8040
Is Sole Proprietor?:No
Enumeration Date:2014-07-12
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 48145106H00000X
CA48145106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist