Provider Demographics
NPI:1760873087
Name:MURRAY, JANELLE (BHA I)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:BHA I
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 39001
Mailing Address - Street 2:
Mailing Address - City:ELIM
Mailing Address - State:AK
Mailing Address - Zip Code:99739-0001
Mailing Address - Country:US
Mailing Address - Phone:907-890-2316
Mailing Address - Fax:907-890-2312
Practice Address - Street 1:39001 AIRPORT ROAD
Practice Address - Street 2:
Practice Address - City:ELIM
Practice Address - State:AK
Practice Address - Zip Code:99739-0001
Practice Address - Country:US
Practice Address - Phone:907-890-2316
Practice Address - Fax:907-890-2312
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-09
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor