Organization
INTEGRATIVE THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA L TURNER LCSW (LICENSED CERTIFIED SOCIAL WORKER)
(601) 201-6165
Entity
Organization
Contact information
Practice address
2460 TERRY RD STE 800, JACKSON, MS 39204-5769
(601) 201-6165
(601) 923-0061
Mailing address
2460 TERRY RD STE 800, JACKSON, MS 39204-5769
(601) 201-6165
(601) 923-0061
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07570361
—
MS
Enumeration date
03/18/2014
Last updated
07/28/2015
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