Provider Demographics
NPI:1669216784
Name:TURNER, JEREMY WENDELL (LPC)
Entity type:Individual
Prefix:
First Name:JEREMY
Middle Name:WENDELL
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 1:16615 CAIRNGROVE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-6398
Mailing Address - Country:US
Mailing Address - Phone:361-739-9130
Mailing Address - Fax:
Practice Address - Street 1:7171 HIGHWAY 6 N # 221
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2563
Practice Address - Country:US
Practice Address - Phone:346-377-6650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75712101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional