Provider Demographics
NPI:1457787392
Name:TURNIPSEED, CONNIE (LMFT)
Entity Type:Individual
Prefix:
First Name:CONNIE
Middle Name:
Last Name:TURNIPSEED
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CONSTANCE
Other - Middle Name:ANN
Other - Last Name:DEGENHARDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:PO BOX 491750
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96049-1750
Mailing Address - Country:US
Mailing Address - Phone:530-917-3563
Mailing Address - Fax:
Practice Address - Street 1:2135 PINE ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-2690
Practice Address - Country:US
Practice Address - Phone:530-276-0624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-24
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA113140106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA01723411OtherMEDI-CAL PIN