Individual
MS. LORI DAWN MURRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC ICADC
Contact information
Practice address
118 KAMEHAMEHA AVE STE 4, HILO, HI 96720-2813
(808) 854-1309
Mailing address
15-280 PUNI MAKAI LOOP S, PAHOA, HI 96778-8806
(808) 854-1309
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1707-12
HI
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
05/02/2012
Last updated
09/09/2012
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