Provider Demographics
NPI:1396038303
Name:MCMURRY, MELISSA (MA, LPC, CADC I)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:MCMURRY
Suffix:
Gender:F
Credentials:MA, LPC, CADC I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 N COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:NEWBERG
Mailing Address - State:OR
Mailing Address - Zip Code:97132-2650
Mailing Address - Country:US
Mailing Address - Phone:503-550-1247
Mailing Address - Fax:
Practice Address - Street 1:409 N COLLEGE ST
Practice Address - Street 2:
Practice Address - City:NEWBERG
Practice Address - State:OR
Practice Address - Zip Code:97132-2650
Practice Address - Country:US
Practice Address - Phone:503-550-1247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR12-03-30101YA0400X
ORC9298101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)