Provider Demographics
NPI:1679787394
Name:TURNER, MARGUERITE MARY (LPC)
Entity Type:Individual
Prefix:
First Name:MARGUERITE
Middle Name:MARY
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 1:315 PRINCETON BLVD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4720
Mailing Address - Country:US
Mailing Address - Phone:703-823-2441
Mailing Address - Fax:
Practice Address - Street 1:3838 CATHEDRAL LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-3602
Practice Address - Country:US
Practice Address - Phone:703-841-2531
Practice Address - Fax:703-841-2752
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003505101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0701003505OtherLICENSED PROFESSIONAL COU