Individual
MS. MARTELLE ALBERTA MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LCPC
Contact information
Practice address
804 3RD STREET SOUTH, NAMPA, ID 83651
(208) 631-7972
Mailing address
6184 HAPPY LANE, NAMPA, ID 83686
(208) 631-7972
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC 3193
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q5787
BLUE CROSS BLUE SHIELD
ID
Enumeration date
05/11/2007
Last updated
07/08/2007
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