Provider Demographics
NPI:1730281643
Name:TURNEY, MARK DAVID (MFT)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:DAVID
Last Name:TURNEY
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6960 MAGNOLIA AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-2805
Mailing Address - Country:US
Mailing Address - Phone:951-214-5727
Mailing Address - Fax:951-684-7503
Practice Address - Street 1:6960 MAGNOLIA AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2805
Practice Address - Country:US
Practice Address - Phone:951-214-5727
Practice Address - Fax:951-684-7503
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC42116106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist