Provider Demographics
NPI:1669666749
Name:MURRAY-LICHTMAN, ANDREA J (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:J
Last Name:MURRAY-LICHTMAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1428
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-1428
Mailing Address - Country:US
Mailing Address - Phone:919-210-0278
Mailing Address - Fax:919-869-2213
Practice Address - Street 1:1829 E FRANKLIN ST
Practice Address - Street 2:SUITE 900 D
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5861
Practice Address - Country:US
Practice Address - Phone:919-210-0278
Practice Address - Fax:919-869-2213
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0052811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical