Provider Demographics
NPI:1831597335
Name:MURRAY, ANNA CHRISTINE
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:CHRISTINE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:IL
Mailing Address - Zip Code:61061-1612
Mailing Address - Country:US
Mailing Address - Phone:815-732-3157
Mailing Address - Fax:
Practice Address - Street 1:516 DAVID DR
Practice Address - Street 2:
Practice Address - City:WINNEBAGO
Practice Address - State:IL
Practice Address - Zip Code:61088-9699
Practice Address - Country:US
Practice Address - Phone:815-540-3638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-15
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health