Provider Demographics
NPI:1508267816
Name:MCMURRAY, ALIX LEAH (LAC)
Entity Type:Individual
Prefix:MS
First Name:ALIX
Middle Name:LEAH
Last Name:MCMURRAY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13590 SUNNY KNOLLS LN
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:CO
Mailing Address - Zip Code:80751-8318
Mailing Address - Country:US
Mailing Address - Phone:970-520-9538
Mailing Address - Fax:
Practice Address - Street 1:12220 HIGHWAY 61
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:CO
Practice Address - Zip Code:80751-8902
Practice Address - Country:US
Practice Address - Phone:970-520-9538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-07
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0000454101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)