Provider Demographics
NPI:1396909388
Name:WILSON-TURNER, MARJORIE DENISE (LCPC)
Entity type:Individual
Prefix:MS
First Name:MARJORIE
Middle Name:DENISE
Last Name:WILSON-TURNER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:MARJORIE
Other - Middle Name:DENISE
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2715 COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-6818
Mailing Address - Country:US
Mailing Address - Phone:803-898-3878
Mailing Address - Fax:808-898-2194
Practice Address - Street 1:2715 COLONIAL DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-6818
Practice Address - Country:US
Practice Address - Phone:803-898-3878
Practice Address - Fax:808-898-2194
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2337101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional