MEDICARE: JORDAN MURPHY M.ED., LPC, NCC, RPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	70430	TX

General Provider Information

NPI Number	:	1043602956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDAN MURPHY M.ED., LPC, NCC, RPT

Provider Business Mailing Address
First Line	:	13315 PINEROCK LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-6007
Country	:	US
Telephone Number	:	281-636-0680
Fax Number	:

Provider Business Practice Location Address
First Line	:	10707 CORPORATE DR STE 203
Second Line	:
City	:	STAFFORD
State	:	TX
Zip	:	77477-4001
Country	:	US
Telephone Number	:	713-592-2493
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2015
Last Update Date	:	11/08/2018

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