Basic Information
Provider Information
NPI: 1780643502
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURRAY
FirstName: SHERRY
MiddleName: LYNN
NamePrefix:  
NameSuffix:  
Credential: MA, LMHC, CMHS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 203 N WASHINGTON ST
Address2: STE 300
City: SPOKANE
State: WA
PostalCode: 992010233
CountryCode: US
TelephoneNumber: 5094448888
FaxNumber: 5094447806
Practice Location
Address1: 5921 N MARKET ST
Address2:  
City: SPOKANE
State: WA
PostalCode: 992082484
CountryCode: US
TelephoneNumber: 5094448200
FaxNumber: 5094826286
Other Information
ProviderEnumerationDate: 03/21/2006
LastUpdateDate: 02/10/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800XLH00007540WAY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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