Basic Information
Provider Information
NPI: 1437718251
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURNER
FirstName: SHEILA
MiddleName: J
NamePrefix: MRS.
NameSuffix:  
Credential: CADC II
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 114 N WINUBA LN
Address2:  
City: BISHOP
State: CA
PostalCode: 935142226
CountryCode: US
TelephoneNumber: 7608734031
FaxNumber:  
Practice Location
Address1: 162 GROVE ST
Address2:  
City: BISHOP
State: CA
PostalCode: 935142640
CountryCode: US
TelephoneNumber: 7608736533
FaxNumber: 7038733277
Other Information
ProviderEnumerationDate: 06/06/2019
LastUpdateDate: 06/06/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YA0400X CAY Behavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)

No ID Information.


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