Provider Demographics
NPI:1831235761
Name:MURRAY, E ANNETTE (LICENSED PROFESSIONA)
Entity type:Individual
Prefix:MRS
First Name:E
Middle Name:ANNETTE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LICENSED PROFESSIONA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7435 MONTICELLO RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-1813
Mailing Address - Country:US
Mailing Address - Phone:803-786-6820
Mailing Address - Fax:803-786-2903
Practice Address - Street 1:1500 LADY ST
Practice Address - Street 2:CHRISTIAN COUNSELING CENTER
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201
Practice Address - Country:US
Practice Address - Phone:803-779-1995
Practice Address - Fax:803-779-7881
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4686101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional