Provider Demographics
NPI:1447388467
Name:TURNER, MAUREEN FINNERTY (LCMHC)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:FINNERTY
Last Name:TURNER
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 TURNER LN
Mailing Address - Street 2:
Mailing Address - City:ISLE LA MOTTE
Mailing Address - State:VT
Mailing Address - Zip Code:05463-9890
Mailing Address - Country:US
Mailing Address - Phone:802-658-2140
Mailing Address - Fax:802-419-3829
Practice Address - Street 1:168 BATTERY ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-5285
Practice Address - Country:US
Practice Address - Phone:802-658-2140
Practice Address - Fax:802-419-3829
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2011-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0680000695101YM0800X
MA3633101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT701101180Medicaid