Provider Demographics
NPI:1336357128
Name:TURNER, CARL LESLIE (LPC)
Entity Type:Individual
Prefix:MR
First Name:CARL
Middle Name:LESLIE
Last Name:TURNER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1851 DAWSON BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-5702
Mailing Address - Country:US
Mailing Address - Phone:843-573-1201
Mailing Address - Fax:843-573-1227
Practice Address - Street 1:1851 DAWSON BRANCH RD
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-5702
Practice Address - Country:US
Practice Address - Phone:843-573-1201
Practice Address - Fax:843-573-1227
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4847101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional