Provider Demographics
NPI:1457408692
Name:MURRAY, DARELL LASHAWN (AMFT, APCC)
Entity type:Individual
Prefix:MR
First Name:DARELL
Middle Name:LASHAWN
Last Name:MURRAY
Suffix:
Gender:
Credentials:AMFT, APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 W ORCHARD CT
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-7083
Mailing Address - Country:US
Mailing Address - Phone:559-803-6003
Mailing Address - Fax:
Practice Address - Street 1:3600 W ORCHARD CT
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-7083
Practice Address - Country:US
Practice Address - Phone:559-803-6003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4982101YM0800X
CA16256101YM0800X, 101YM0800X
101YP2500X
CA105789106H00000X
CA146103106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1457408692Medicaid