Individual
KATHERINE WHITMIRE MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A, LPCC, LADC
Contact information
Practice address
6542 REGENCY LN STE 204, EDEN PRAIRIE, MN 55344-7848
(612) 230-8259
Mailing address
6542 REGENCY LN STE 204, EDEN PRAIRIE, MN 55344-7848
(612) 230-8259
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303444
MN
101YM0800X
Mental Health Counselor
Primary
CC01365
MN
101YP2500X
Professional Counselor
1365
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588094809
—
MN
Enumeration date
11/22/2013
Last updated
06/10/2023
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