Provider Demographics
NPI:1760005417
Name:TURNER, JAZRAEL M (LMFT)
Entity Type:Individual
Prefix:
First Name:JAZRAEL
Middle Name:M
Last Name:TURNER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 541
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-0541
Mailing Address - Country:US
Mailing Address - Phone:267-935-9290
Mailing Address - Fax:
Practice Address - Street 1:651 E TOWNSHIP LINE RD
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-5115
Practice Address - Country:US
Practice Address - Phone:267-935-9290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-28
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF001114106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist