Healthcare Provider Details

I. General information

NPI: 1871404558
Provider Name (Legal Business Name): SETH MURDOCH LPC-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1367 N MAIN ST
JAY OK
74346-2848
US

IV. Provider business mailing address

1367 N MAIN ST
JAY OK
74346-2848
US

V. Phone/Fax

Practice location:
  • Phone: 918-205-6767
  • Fax:
Mailing address:
  • Phone: 918-205-6767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCCANDIDATE13634
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: