Provider Demographics
NPI:1770621518
Name:TURGEON, REBECCA JANE (LPC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:JANE
Last Name:TURGEON
Suffix:
Gender:F
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:PO BOX 208
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-0208
Mailing Address - Country:US
Mailing Address - Phone:860-604-0006
Mailing Address - Fax:
Practice Address - Street 1:1224 MILL ST BLDG D
Practice Address - Street 2:
Practice Address - City:EAST BERLIN
Practice Address - State:CT
Practice Address - Zip Code:06023-1159
Practice Address - Country:US
Practice Address - Phone:860-604-0006
Practice Address - Fax:860-317-0069
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CT001796101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health