Provider Demographics
NPI:1235404831
Name:MURR, KRISTINA KONCUL (MS, LPC)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:KONCUL
Last Name:MURR
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3855 SHALLOWFORD RD STE 515
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-4197
Mailing Address - Country:US
Mailing Address - Phone:678-310-0358
Mailing Address - Fax:
Practice Address - Street 1:3855 SHALLOWFORD RD STE 515
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-4197
Practice Address - Country:US
Practice Address - Phone:678-310-0358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-14
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006716101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional