Provider Demographics
NPI:1619907219
Name:MURRAY, LINDA IRENE (LCPC, ATR-BC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:IRENE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LCPC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 HENRY ST
Mailing Address - Street 2:SUITE 407
Mailing Address - City:ALTON
Mailing Address - State:IL
Mailing Address - Zip Code:62002-6326
Mailing Address - Country:US
Mailing Address - Phone:618-465-9747
Mailing Address - Fax:618-465-9796
Practice Address - Street 1:307 HENRY ST
Practice Address - Street 2:SUITE 407
Practice Address - City:ALTON
Practice Address - State:IL
Practice Address - Zip Code:62002-6326
Practice Address - Country:US
Practice Address - Phone:618-465-9747
Practice Address - Fax:618-465-9796
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2011-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-003684101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health