Provider Demographics
NPI:1437398161
Name:MURRAY, DESIREE ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DESIREE
Middle Name:ANN
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:DESIREE
Other - Middle Name:ANN
Other - Last Name:MURRAY MORAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW, CAC III
Mailing Address - Street 1:PO BOX 2005
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-1410
Mailing Address - Country:US
Mailing Address - Phone:720-838-6770
Mailing Address - Fax:
Practice Address - Street 1:19557 E MAINSTREET
Practice Address - Street 2:SUITE 103
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-7393
Practice Address - Country:US
Practice Address - Phone:720-838-6770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-19
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6454101YA0400X
CO9925471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)