Provider Demographics
NPI:1790546695
Name:MURREY, JASON (MS, LMHCA)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:MURREY
Suffix:
Gender:M
Credentials:MS, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5932 COPELAND MILLS DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46221-4532
Mailing Address - Country:US
Mailing Address - Phone:317-966-5408
Mailing Address - Fax:
Practice Address - Street 1:3021 E 98TH ST STE 140
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46280-1964
Practice Address - Country:US
Practice Address - Phone:317-214-0863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88002218A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health