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Individual

CARSON MCMURRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
20110 VASHON HWY SW, VASHON, WA 98070-6026
(206) 463-5511
Mailing address
21429 MONUMENT RD SW, VASHON, WA 98070-6611
(919) 259-2994

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MCMURCR114OD
DRIVERS LICENSE NUMBER
WA
Enumeration date
07/26/2022
Last updated
07/26/2022
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