Provider Demographics
NPI:1760657258
Name:TURNER, JOE L
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:L
Last Name:TURNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15770 MOJAVE DR STE L
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92394-1934
Mailing Address - Country:US
Mailing Address - Phone:760-843-7809
Mailing Address - Fax:760-843-7810
Practice Address - Street 1:15770 MOJAVE DR STE L
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92394-1934
Practice Address - Country:US
Practice Address - Phone:760-843-7809
Practice Address - Fax:760-843-7810
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherSUBSTANCE ABUSE COUNSELOR