Provider Demographics
NPI:1639983927
Name:MURRAY, MARILYN M (MS)
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:M
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:482 BRADLEY ST SW
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210-3008
Mailing Address - Country:US
Mailing Address - Phone:276-451-3996
Mailing Address - Fax:
Practice Address - Street 1:482 BRADLEY ST SW
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-3008
Practice Address - Country:US
Practice Address - Phone:276-451-3996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0719000037101YA0400X
VA0704017240101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)