MEDICARE: JEFFREY DIXON MURRAH LPC

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	101Y00000X	Counselor	11573	TX
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	6714	TX
3	106H00000X	Marriage & Family Therapist	003311-041926	TX

General Provider Information

NPI Number	:	1205858057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY DIXON MURRAH LPC

Provider Business Mailing Address
First Line	:	PO BOX 423
Second Line	:
City	:	LA PORTE
State	:	TX
Zip	:	77572-0423
Country	:	US
Telephone Number	:	713-344-0682
Fax Number	:

Provider Business Practice Location Address
First Line	:	1345 SPACE PARK DR
Second Line	:	SUITE D
City	:	HOUSTON
State	:	TX
Zip	:	77058-3468
Country	:	US
Telephone Number	:	713-344-0682
Fax Number	:

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	09/11/2025

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