Provider Demographics
NPI:1396198057
Name:MURPHY, JAMES CURTIS (LADC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CURTIS
Last Name:MURPHY
Suffix:
Gender:M
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 6TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WINNEBAGO
Mailing Address - State:MN
Mailing Address - Zip Code:56098-2082
Mailing Address - Country:US
Mailing Address - Phone:507-385-8761
Mailing Address - Fax:
Practice Address - Street 1:12 CIVIC CENTER PLZ
Practice Address - Street 2:SUITE 2116
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-7781
Practice Address - Country:US
Practice Address - Phone:507-385-8761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-18
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN300251101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)