Provider Demographics
NPI:1710742077
Name:MURRAY, EMILY MORGAN (MA, LPC, SAC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:MORGAN
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MA, LPC, SAC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:MORGAN
Other - Last Name:LEADLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:626 E BREWSTER ST
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911-3720
Mailing Address - Country:US
Mailing Address - Phone:920-740-0159
Mailing Address - Fax:
Practice Address - Street 1:626 E BREWSTER ST
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911-3720
Practice Address - Country:US
Practice Address - Phone:920-740-0159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17010-131101YA0400X
WI10276-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)