Provider Demographics
NPI:1588038269
Name:TURNEY, JORDAN (MA, LPC, CCTP)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:
Last Name:TURNEY
Suffix:
Gender:F
Credentials:MA, LPC, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 BRADFORD DR APT 12
Mailing Address - Street 2:
Mailing Address - City:LEOLA
Mailing Address - State:PA
Mailing Address - Zip Code:17540-1713
Mailing Address - Country:US
Mailing Address - Phone:570-594-6911
Mailing Address - Fax:
Practice Address - Street 1:21 BRADFORD DR APT 12
Practice Address - Street 2:
Practice Address - City:LEOLA
Practice Address - State:PA
Practice Address - Zip Code:17540-1713
Practice Address - Country:US
Practice Address - Phone:570-594-6911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-18
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
PAPC010434101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor