Individual
FREDDIE M MURRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDCIII
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 813-1737
Mailing address
1 ELIZABETH PL, DAYTON, OH 45417-3445
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
162427
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
170180
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
173086
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.170180
OH
Other
Enumeration date
01/06/2020
Last updated
11/07/2022
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