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General NPI Number Information
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NPI Number | 1144050642
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Entity Type | Organization
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Legal Business Name | MURRAY MENTAL HEALTH PLLC
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Dates
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Enumeration Date | 08/07/2024
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 5804 S NORDICA AVE
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City | CHICAGO
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State | IL
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Zip | 60638-3115
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Country | US
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Telephone | 773-633-0531
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Fax |
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Provider Business Mailing Address
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Address Line | 444 E ROOSEVELT RD # 249
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City | LOMBARD
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State | IL
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Zip | 60148-4630
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Country | US
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Telephone | 630-225-7754
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | CAROLYN PATRICIA MURRAY
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Credential | MS LCPC
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Telephone | 773-633-0531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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