Provider Demographics
NPI:1932372232
Name:TURNER, MARVEL (MS, LPC)
Entity Type:Individual
Prefix:MR
First Name:MARVEL
Middle Name:
Last Name:TURNER
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1019 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74401-7636
Mailing Address - Country:US
Mailing Address - Phone:918-913-0009
Mailing Address - Fax:918-608-8859
Practice Address - Street 1:323 NORTH 3RD STREET
Practice Address - Street 2:SUITE 104
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401
Practice Address - Country:US
Practice Address - Phone:918-816-0718
Practice Address - Fax:918-608-8859
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-08
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5839101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional