Doctor Name: | JONATHAN MURDAUGH |
NPI Number: | 1275923484 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 1040 Tinker Town Rd Fairfax, SC - 298277220 |
Business Phone Number: | 8036860412 |
Business Fax Number: | |
Mailing Address: | Po Box 1332, FAIRFAX |
State: | SC |
Postal Code: | 298271332 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/26/2015 |
NPI Last Update Date: | 01/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |