Provider Demographics
NPI:1508497819
Name:MURRAY, CAROLYN PATRICIA (LCPC)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:PATRICIA
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:PATRICIA
Other - Last Name:SCHOENBECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:5151 MOCHEL DRIVE SUITE 307
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515
Mailing Address - Country:US
Mailing Address - Phone:630-963-5390
Mailing Address - Fax:630-852-2841
Practice Address - Street 1:5151 MOCHEL DRIVE SUITE 307
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515
Practice Address - Country:US
Practice Address - Phone:630-963-5390
Practice Address - Fax:630-852-2841
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-27
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.015258101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health