Provider Demographics
NPI:1871848549
Name:TURNER, KRISTIN MACRAE (LCSW,LAC)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:MACRAE
Last Name:TURNER
Suffix:
Gender:F
Credentials:LCSW,LAC
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:MACRAE
Other - Last Name:LAFERRIERE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 13154
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70185-3154
Mailing Address - Country:US
Mailing Address - Phone:504-571-9910
Mailing Address - Fax:504-564-7395
Practice Address - Street 1:716 ADAMS ST
Practice Address - Street 2:SUITE 5
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-3931
Practice Address - Country:US
Practice Address - Phone:504-571-9910
Practice Address - Fax:504-564-7395
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-19
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA104111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical