Provider Demographics
NPI:1457833501
Name:TURNER, MICHELLE APRIL
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:APRIL
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2545 SAN PABLO AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-1121
Mailing Address - Country:US
Mailing Address - Phone:510-655-0275
Mailing Address - Fax:510-446-7188
Practice Address - Street 1:2545 SAN PABLO AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-1121
Practice Address - Country:US
Practice Address - Phone:510-446-7140
Practice Address - Fax:510-446-7188
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65056101YA0400X
CA2315846101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)