Provider Demographics
NPI:1598239394
Name:MURAWSKI, KELLIE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KELLIE
Middle Name:
Last Name:MURAWSKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 TREASURE AVE
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-1941
Mailing Address - Country:US
Mailing Address - Phone:908-872-1268
Mailing Address - Fax:
Practice Address - Street 1:1101 TREASURE AVE
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-1941
Practice Address - Country:US
Practice Address - Phone:908-872-1268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-15
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00447300101YM0800X
NJ37PC00900300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health