Provider Demographics
NPI:1902472822
Name:MURRAY, JESSIE (LMHCA)
Entity Type:Individual
Prefix:MRS
First Name:JESSIE
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2056 S 134TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATAC
Mailing Address - State:WA
Mailing Address - Zip Code:98168-2960
Mailing Address - Country:US
Mailing Address - Phone:951-240-1692
Mailing Address - Fax:
Practice Address - Street 1:2056 S 134TH ST
Practice Address - Street 2:
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98168-2960
Practice Address - Country:US
Practice Address - Phone:951-240-1692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-01
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61154375101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health