Provider Demographics
NPI:1902008329
Name:MURIN, SUSAN (LCADC)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:
Last Name:MURIN
Suffix:
Gender:F
Credentials:LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 COLDEVIN RD
Mailing Address - Street 2:
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-1206
Mailing Address - Country:US
Mailing Address - Phone:908-272-2534
Mailing Address - Fax:908-276-1830
Practice Address - Street 1:117 ROOSEVELT AVE # 119
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-1331
Practice Address - Country:US
Practice Address - Phone:908-756-6870
Practice Address - Fax:908-756-5566
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00136200101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)