Provider Demographics
NPI:1538464987
Name:TURNER, TOREN (LPC)
Entity Type:Individual
Prefix:MS
First Name:TOREN
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1945 HICKORY RD APT 1C
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-2266
Mailing Address - Country:US
Mailing Address - Phone:773-314-3126
Mailing Address - Fax:
Practice Address - Street 1:3612 LINCOLN HWY STE 6
Practice Address - Street 2:
Practice Address - City:OLYMPIA FIELDS
Practice Address - State:IL
Practice Address - Zip Code:60461-1637
Practice Address - Country:US
Practice Address - Phone:773-314-3126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-17
Last Update Date:2011-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.004378101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional