Doctor Name: | MONIQUE M MURRAY |
NPI Number: | 1164772547 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC-C, CADC |
License Number: | CAC4938 |
Business Practice Address: | 70 Ossipee Trl E Standish, ME - 040846400 |
Business Phone Number: | 2078500314 |
Business Fax Number: | |
Mailing Address: | 129 Waterboro Rd, HOLLIS CENTER |
State: | ME |
Postal Code: | 040423346 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/13/2012 |
NPI Last Update Date: | 09/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CAC4938 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |