MEDICARE: SHERRY C 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
1	101YM0800X	Mental Health Counselor	3971869	ID

General Provider Information

NPI Number	:	1376423285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRY C MURRAY

Provider Business Mailing Address
First Line	:	696 WHITE PINE DR
Second Line	:
City	:	TWIN FALLS
State	:	ID
Zip	:	83301-2403
Country	:	US
Telephone Number	:	801-377-0978
Fax Number	:

Provider Business Practice Location Address
First Line	:	696 WHITE PINE DR
Second Line	:
City	:	TWIN FALLS
State	:	ID
Zip	:	83301-2403
Country	:	US
Telephone Number	:	801-377-0978
Fax Number	:

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

Provider Enumeration Date	:	09/03/2025
Last Update Date	:	09/03/2025

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Directions to “ SHERRY C MURRAY ” Practice Location

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