Provider Demographics
NPI:1598160814
Name:TURNER, CHRISTOPHER S (CACC-II)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:S
Last Name:TURNER
Suffix:
Gender:M
Credentials:CACC-II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3949 SOUTH 6TH STREET
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97603
Mailing Address - Country:US
Mailing Address - Phone:541-882-1487
Mailing Address - Fax:541-851-3983
Practice Address - Street 1:6000 NEW WAY
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-9382
Practice Address - Country:US
Practice Address - Phone:541-884-1841
Practice Address - Fax:541-884-1851
Is Sole Proprietor?:No
Enumeration Date:2014-10-29
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR14-08-10101YA0400X
OR17-02-14101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)