Provider Demographics
NPI:1316037765
Name:MURIN, TRICIA MARIE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:TRICIA
Middle Name:MARIE
Last Name:MURIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 S CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:EBENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15931-1915
Mailing Address - Country:US
Mailing Address - Phone:814-472-6431
Mailing Address - Fax:
Practice Address - Street 1:2447 BEDFORD ST
Practice Address - Street 2:SUITE 200
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-1405
Practice Address - Country:US
Practice Address - Phone:814-659-5063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003164101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional