Provider Demographics
NPI:1043487994
Name:MURLEY, MICHELLE K (LCSW, CADC)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:K
Last Name:MURLEY
Suffix:
Gender:F
Credentials:LCSW, CADC
Other - Prefix:MRS
Other - First Name:MICHELLE
Other - Middle Name:K
Other - Last Name:MURLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, CADC
Mailing Address - Street 1:16 WESTERN AVENUE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-6528
Mailing Address - Country:US
Mailing Address - Phone:207-671-8904
Mailing Address - Fax:
Practice Address - Street 1:16 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-4647
Practice Address - Country:US
Practice Address - Phone:207-671-8904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC4886101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health