Provider Demographics
NPI:1093899106
Name:MURPHY, MARILYN J (LCPC)
Entity Type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:J
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MRS
Other - First Name:MARILYN
Other - Middle Name:J
Other - Last Name:RASMUSSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3972 US HIGHWAY 93 N
Mailing Address - Street 2:
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MT
Mailing Address - Zip Code:59870-6494
Mailing Address - Country:US
Mailing Address - Phone:406-777-9836
Mailing Address - Fax:
Practice Address - Street 1:3972 US HIGHWAY 93 N
Practice Address - Street 2:
Practice Address - City:STEVENSVILLE
Practice Address - State:MT
Practice Address - Zip Code:59870-6494
Practice Address - Country:US
Practice Address - Phone:406-777-9836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT604101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional