Provider Demographics
NPI:1538982020
Name:TURNER, TERRENCE M JR (SUDPT)
Entity type:Individual
Prefix:MR
First Name:TERRENCE
Middle Name:M
Last Name:TURNER
Suffix:JR
Gender:M
Credentials:SUDPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3240 NORTHWEST AVE
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1318
Mailing Address - Country:US
Mailing Address - Phone:360-450-5025
Mailing Address - Fax:360-734-3270
Practice Address - Street 1:3240 NORTHWEST AVE
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1318
Practice Address - Country:US
Practice Address - Phone:360-450-5025
Practice Address - Fax:360-734-3270
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACO61575713101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)