Individual
MR. JUSTIN MURRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9013 MYRTLE DR, DOUGLASVILLE, GA 30134-2114
(404) 441-9729
Mailing address
9013 MYRTLE DR, DOUGLASVILLE, GA 30134-2114
(404) 441-9729
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MSW008943
GA
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
CSW008097
GA
Other
Enumeration date
06/02/2020
Last updated
02/16/2024
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