Healthcare Provider Details

I. General information

NPI: 1003742867
Provider Name (Legal Business Name): KATHERINE MURRAY APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 LANE AVE STE 126
CHULA VISTA CA
91914-3515
US

IV. Provider business mailing address

5252 BALBOA AVE STE 408
SAN DIEGO CA
92117-6939
US

V. Phone/Fax

Practice location:
  • Phone: 858-333-6856
  • Fax: 858-999-2014
Mailing address:
  • Phone: 858-333-6856
  • Fax: 858-999-2014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number17874
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: