Provider Demographics
NPI:1629306626
Name:MURRAY, CONNIE RAYE (LADC-US, LPC-US)
Entity Type:Individual
Prefix:MISS
First Name:CONNIE
Middle Name:RAYE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LADC-US, LPC-US
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3033 N WALNUT AVE
Mailing Address - Street 2:EAST BUILDING
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73105-2832
Mailing Address - Country:US
Mailing Address - Phone:405-230-1178
Mailing Address - Fax:
Practice Address - Street 1:3033 N WALNUT AVE
Practice Address - Street 2:EAST BUILDING
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-2832
Practice Address - Country:US
Practice Address - Phone:405-230-1178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-02
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100742400DMedicaid
OK100742400BMedicaid
OK100742400FMedicaid