Provider Demographics
NPI:1912580101
Name:TURNER, JOSEPH GARDINER (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:GARDINER
Last Name:TURNER
Suffix:
Gender:M
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3542 19TH ST
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-1902
Mailing Address - Country:US
Mailing Address - Phone:706-464-5272
Mailing Address - Fax:
Practice Address - Street 1:3542 19TH ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-1902
Practice Address - Country:US
Practice Address - Phone:706-464-5272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-04
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0018274101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health