Provider Demographics
NPI:1740580570
Name:MURPHY, JOHN JOSEPH
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:JOSEPH
Last Name:MURPHY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 E FRY BLVD STE 305
Mailing Address - Street 2:C/O ALTERNATIVES COUNSELING SERVICE, INC. (PEGG)
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-2620
Mailing Address - Country:US
Mailing Address - Phone:520-459-1148
Mailing Address - Fax:520-459-1454
Practice Address - Street 1:999 E FRY BLVD STE 305
Practice Address - Street 2:C/O ALTERNATIVES COUNSELING SERVICE, INC. (PEGG)
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-2620
Practice Address - Country:US
Practice Address - Phone:520-459-1148
Practice Address - Fax:520-459-1454
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-121861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical