Individual
TIMOTHY MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MC
Contact information
Practice address
120 W MAIN ST, CASA GRANDE, AZ 85222-4820
(520) 836-1675
(520) 421-1969
Mailing address
120 W MAIN ST, CASA GRANDE, AZ 85222-4820
(520) 836-1675
(520) 421-1969
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-0014
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
754839
—
AZ
01
—
LPC-0014
LICENSE
AZ
Enumeration date
12/21/2006
Last updated
07/09/2007
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