Provider Demographics
NPI:1417930413
Name:TURNER, JOHN F JR (MLSW)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:F
Last Name:TURNER
Suffix:JR
Gender:M
Credentials:MLSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5489 N SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:BURTON
Mailing Address - State:MI
Mailing Address - Zip Code:48509-1350
Mailing Address - Country:US
Mailing Address - Phone:810-743-9942
Mailing Address - Fax:
Practice Address - Street 1:4001 N SAGINAW ST
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48505-3994
Practice Address - Country:US
Practice Address - Phone:810-787-5109
Practice Address - Fax:810-789-9222
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801046702104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker