Provider Demographics
NPI:1437224748
Name:MURPHY, KATHERINE LA NELL (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:LA NELL
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1504 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-4845
Mailing Address - Country:US
Mailing Address - Phone:520-431-8111
Mailing Address - Fax:505-281-5320
Practice Address - Street 1:1504 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-4845
Practice Address - Country:US
Practice Address - Phone:520-431-8111
Practice Address - Fax:505-281-5320
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCCMH0215751101YM0800X
WY663101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health