Provider Demographics
NPI:1164772547
Name:MURRAY, MONIQUE M (MS CRC, LCPC, CADC)
Entity Type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:M
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MS CRC, LCPC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 362
Mailing Address - Street 2:
Mailing Address - City:STANDISH
Mailing Address - State:ME
Mailing Address - Zip Code:04084-0362
Mailing Address - Country:US
Mailing Address - Phone:207-850-0314
Mailing Address - Fax:207-637-5057
Practice Address - Street 1:70 OSSIPEE TRL E
Practice Address - Street 2:
Practice Address - City:STANDISH
Practice Address - State:ME
Practice Address - Zip Code:04084-6400
Practice Address - Country:US
Practice Address - Phone:207-850-0314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-13
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECAC4938101YA0400X
MECC5069101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)