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NPI Code Detail

MEDICARE: CAMILLE MURRAY

MEDICARE:   CAMILLE  MURRAY
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
1101YM0800XMental Health Counselor0903003146VA
2106S00000XBehavior Technician32632MD

General Provider Information

NPI Number : 1134832694
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMILLE MURRAY
Provider Business Mailing Address
First Line : 6655 SANTA BARBARA RD UNIT 8574
Second Line :
City : ELKRIDGE
State : MD
Zip : 21075-7523
Country : US
Telephone Number : 866-610-0580
Fax Number :
Provider Business Practice Location Address
First Line : 6655 SANTA BARBARA RD UNIT 8574
Second Line :
City : ELKRIDGE
State : MD
Zip : 21075-7523
Country : US
Telephone Number : 929-228-0530
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2022
Last Update Date : 01/08/2025

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Directions to “ CAMILLE MURRAY ” Practice Location

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