Provider Demographics
NPI:1659467066
Name:TURNER, JULIE ANN (MA, LPC, LADC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:TURNER
Suffix:
Gender:F
Credentials:MA, LPC, LADC
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ANN
Other - Last Name:TOMIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC, LADC
Mailing Address - Street 1:47 TOWN ST
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-2323
Mailing Address - Country:US
Mailing Address - Phone:860-892-7042
Mailing Address - Fax:860-892-7043
Practice Address - Street 1:47 TOWN ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2323
Practice Address - Country:US
Practice Address - Phone:860-892-7042
Practice Address - Fax:860-892-7043
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000562101YA0400X
CT000576101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT300000562CT01Medicare UPIN
CT240000576CT01Medicare UPIN
CT542415Medicare UPIN
CT7669814Medicare UPIN
CTP3532659Medicare UPIN
CT340345Medicare UPIN
CT87726Medicare UPIN