Provider Demographics
NPI:1861293102
Name:TURNER, MARLON D (CSAC-A; RPRS; CPRS-T)
Entity type:Individual
Prefix:
First Name:MARLON
Middle Name:D
Last Name:TURNER
Suffix:
Gender:
Credentials:CSAC-A; RPRS; CPRS-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 WILLOW LAWN DR STE 304
Mailing Address - Street 2:#1409
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-3423
Mailing Address - Country:US
Mailing Address - Phone:804-634-7386
Mailing Address - Fax:
Practice Address - Street 1:1601 WILLOW LAWN DR STE 304
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3423
Practice Address - Country:US
Practice Address - Phone:804-634-7386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-22
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0711000695101YA0400X
VA0735001034175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)