Provider Demographics
NPI:1508339409
Name:TURNBOOM, JOYCE ELLA (MA/CADC)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:ELLA
Last Name:TURNBOOM
Suffix:
Gender:F
Credentials:MA/CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3213 N TAMARACK DR
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83703-4543
Mailing Address - Country:US
Mailing Address - Phone:208-338-9766
Mailing Address - Fax:208-345-1791
Practice Address - Street 1:3213 N TAMARACK DR
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83703-4543
Practice Address - Country:US
Practice Address - Phone:208-338-9766
Practice Address - Fax:208-345-1791
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCADC11857204101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty