Provider Demographics
NPI:1861836520
Name:TURNER, JERRY LAMONT JR (MS, LPC, CDT)
Entity Type:Individual
Prefix:MR
First Name:JERRY
Middle Name:LAMONT
Last Name:TURNER
Suffix:JR
Gender:M
Credentials:MS, LPC, CDT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5000 W NATIONAL AVE
Mailing Address - Street 2:BUILDING 7
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53295-0001
Mailing Address - Country:US
Mailing Address - Phone:414-384-2000
Mailing Address - Fax:414-982-5298
Practice Address - Street 1:5000 W NATIONAL AVE
Practice Address - Street 2:BUILDING 7
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53295-0001
Practice Address - Country:US
Practice Address - Phone:414-384-2000
Practice Address - Fax:414-982-5298
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health