Doctor Name: | FARA DIANE MURATA |
NPI Number: | 1023126422 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 992692 |
Business Practice Address: | 5738 Olde Wadsworth Blvd Arvada, CO - 800022535 |
Business Phone Number: | 7208984800 |
Business Fax Number: | 3034569284 |
Mailing Address: | 5738 Olde Wadsworth Blvd, ARVADA |
State: | CO |
Postal Code: | 800022535 |
Phone Number: | 7208984800 |
Fax Number: | 3034569284 |
NPI Enumeration Date: | 08/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 992692 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |