Provider Demographics
NPI:1417421736
Name:MURASKI, CHRISTINA JOY (LMFT)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:JOY
Last Name:MURASKI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:JOY
Other - Last Name:BROLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 458
Mailing Address - Street 2:
Mailing Address - City:HOWARD LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55349-0458
Mailing Address - Country:US
Mailing Address - Phone:320-543-6847
Mailing Address - Fax:320-407-1485
Practice Address - Street 1:606 8TH AVE
Practice Address - Street 2:
Practice Address - City:HOWARD LAKE
Practice Address - State:MN
Practice Address - Zip Code:55349
Practice Address - Country:US
Practice Address - Phone:320-543-6847
Practice Address - Fax:320-407-1485
Is Sole Proprietor?:No
Enumeration Date:2019-01-21
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3791106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist