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Individual
MR. ANTHONY MURDOCK LEA
Active
Individual
MR. ANTHONY MURDOCK LEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT, LSATP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000042
VA
101YM0800X
Mental Health Counselor
Primary
0701002283
VA
106H00000X
Marriage & Family Therapist
0717000407
VA
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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