Provider Demographics
NPI:1619331279
Name:MURRAY, DAVID (LPC-I)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:MURRAY
Suffix:
Gender:M
Credentials:LPC-I
Other - Prefix:
Other - First Name:DAVE
Other - Middle Name:
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC-I
Mailing Address - Street 1:1797 BRICK CHIMNEY RD
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:SC
Mailing Address - Zip Code:29440-5755
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1797 BRICK CHIMNEY RD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:SC
Practice Address - Zip Code:29440-5755
Practice Address - Country:US
Practice Address - Phone:843-267-4073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6094101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional