Provider Demographics
NPI:1225799489
Name:TURNER, VANIQUA JONES (CSW)
Entity Type:Individual
Prefix:
First Name:VANIQUA
Middle Name:JONES
Last Name:TURNER
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3279 CASEY DRIVE UNIT 102
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-1170
Mailing Address - Country:US
Mailing Address - Phone:702-381-4797
Mailing Address - Fax:
Practice Address - Street 1:5350 HARRIS AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110-2508
Practice Address - Country:US
Practice Address - Phone:323-286-3096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-09
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8496-M1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical