Provider Demographics
NPI:1366087017
Name:TUREK, MARY KATHRYN (LPC)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:KATHRYN
Last Name:TUREK
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 1:4371 W MOUNTAIN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:WALNUTPORT
Mailing Address - State:PA
Mailing Address - Zip Code:18088-9730
Mailing Address - Country:US
Mailing Address - Phone:570-952-4180
Mailing Address - Fax:
Practice Address - Street 1:1416 MONROE AVE STE 205
Practice Address - Street 2:
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18509-2477
Practice Address - Country:US
Practice Address - Phone:570-952-4180
Practice Address - Fax:570-254-6337
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-16
Last Update Date:2019-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011578101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health