Provider Demographics
NPI:1508940438
Name:CASAREZ TURNER, CORRINE B (MA LPCC)
Entity Type:Individual
Prefix:MRS
First Name:CORRINE
Middle Name:B
Last Name:CASAREZ TURNER
Suffix:
Gender:F
Credentials:MA LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2791 SR 108
Mailing Address - Street 2:
Mailing Address - City:TEXICO
Mailing Address - State:NM
Mailing Address - Zip Code:88135-9605
Mailing Address - Country:US
Mailing Address - Phone:575-389-5311
Mailing Address - Fax:
Practice Address - Street 1:2791 SR 108
Practice Address - Street 2:
Practice Address - City:TEXICO
Practice Address - State:NM
Practice Address - Zip Code:88135-9605
Practice Address - Country:US
Practice Address - Phone:575-760-5162
Practice Address - Fax:505-769-8974
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM005492101YM0800X
NMCCMH005492101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health