Individual
MRS. ANGELA MURRAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8712 TARA BLVD, SUITE B, JONESBORO, GA 30236-4905
(770) 478-3417
(770) 478-3419
Mailing address
8712 TARA BLVD, JONESBORO, GA 30236-4905
(770) 478-3417
(770) 478-3419
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
GA
103K00000X
Behavior Analyst
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
2004
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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