Doctor Name: | MR. CHRIS MURDOCK |
NPI Number: | 1225408818 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ACMHC |
License Number: | 359201-6009 |
Business Practice Address: | 2261 W 2120 N Lehi, UT - 840435666 |
Business Phone Number: | 4355905483 |
Business Fax Number: | |
Mailing Address: | 2261 W 2120 N, LEHI |
State: | UT |
Postal Code: | 840435666 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/25/2015 |
NPI Last Update Date: | 09/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 359201-6009 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |