MEDICARE: JONATHAN MURRAY LCSW

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
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1679996409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN MURRAY LCSW

Provider Business Mailing Address
First Line	:	10501 W GOWAN RD STE 130
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6602
Country	:	US
Telephone Number	:	702-937-2136
Fax Number	:	725-269-1569

Provider Business Practice Location Address
First Line	:	10501 W GOWAN RD STE 130
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6602
Country	:	US
Telephone Number	:	702-937-2136
Fax Number	:	725-269-1569

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

Provider Enumeration Date	:	01/30/2014
Last Update Date	:	07/01/2024

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Directions to “ JONATHAN MURRAY LCSW” Practice Location

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