Provider Demographics
NPI:1841737871
Name:MURRAY, MAUREEN J (LPC)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:J
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3144 NE CASCARA CT
Mailing Address - Street 2:
Mailing Address - City:LINCOLN CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97367-3008
Mailing Address - Country:US
Mailing Address - Phone:360-561-6142
Mailing Address - Fax:
Practice Address - Street 1:531 N HIGHWAY 101
Practice Address - Street 2:SUITE A
Practice Address - City:DEPOE BAY
Practice Address - State:OR
Practice Address - Zip Code:97341-9801
Practice Address - Country:US
Practice Address - Phone:541-765-3265
Practice Address - Fax:541-765-3260
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-29
Last Update Date:2017-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC4061101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health