Provider Demographics
NPI:1447564984
Name:MURRIN, JOAN DANE (MFT)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:DANE
Last Name:MURRIN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 N NAVARRA DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95066-3747
Mailing Address - Country:US
Mailing Address - Phone:831-438-4012
Mailing Address - Fax:
Practice Address - Street 1:413 N NAVARRA DR
Practice Address - Street 2:
Practice Address - City:SCOTTS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95066-3747
Practice Address - Country:US
Practice Address - Phone:831-438-4012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMB012066106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist