Provider Demographics
NPI:1548757503
Name:MURE, WILLIAM (LMSW, CAADC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:MURE
Suffix:
Gender:M
Credentials:LMSW, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 GILBERT ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201-1830
Mailing Address - Country:US
Mailing Address - Phone:517-206-8398
Mailing Address - Fax:
Practice Address - Street 1:209 E WASHINGTON AVE
Practice Address - Street 2:STE 180-B
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-1830
Practice Address - Country:US
Practice Address - Phone:517-748-7075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-16
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
MI68011063901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)