Provider Demographics
NPI:1205150596
Name:BILBO-MURRAY, CATWANYA NETTIE (LADC, MA)
Entity type:Individual
Prefix:MS
First Name:CATWANYA
Middle Name:NETTIE
Last Name:BILBO-MURRAY
Suffix:
Gender:F
Credentials:LADC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 NW 122ND ST APT 2608
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-8457
Mailing Address - Country:US
Mailing Address - Phone:405-752-4291
Mailing Address - Fax:
Practice Address - Street 1:2301 NW 122ND ST APT 2608
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-8457
Practice Address - Country:US
Practice Address - Phone:405-752-4291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)