Individual
MARTHA MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 439-9983
(337) 439-9983
Mailing address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 439-9983
(337) 310-1161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8658
LA
1041C0700X
Clinical Social Worker
Primary
8658
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2528637
—
LA
Enumeration date
10/25/2016
Last updated
03/18/2021
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