Individual
SHANTELL TURNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12934 HARBOR DR # 106, WOODBRIDGE, VA 22192-2930
(571) 572-9179
(571) 520-0614
Mailing address
14497 POTOMAC MILLS RD # 1190, WOODBRIDGE, VA 22192-6807
(757) 726-7180
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701011581
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710102917
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000545
VA
101YM0800X
Mental Health Counselor
0704012482
VA
101YP2500X
Professional Counselor
0701011581
VA
Other
Enumeration date
02/21/2020
Last updated
09/05/2025
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