Provider Demographics
NPI:1366684334
Name:TURNBULL-HUMPHRIES, JANE WALLIS (PHD, LPC, NCC)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:WALLIS
Last Name:TURNBULL-HUMPHRIES
Suffix:
Gender:F
Credentials:PHD, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 N COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-3814
Mailing Address - Country:US
Mailing Address - Phone:334-740-1390
Mailing Address - Fax:
Practice Address - Street 1:311 N COLLEGE ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-3814
Practice Address - Country:US
Practice Address - Phone:334-740-1390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-06
Last Update Date:2019-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4198101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional