Provider Demographics
NPI:1861803322
Name:MURRAY, SHAUNA RACHELLE (LPC)
Entity type:Individual
Prefix:
First Name:SHAUNA
Middle Name:RACHELLE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12101 ROYAL COACH DR
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-8124
Mailing Address - Country:US
Mailing Address - Phone:405-323-1610
Mailing Address - Fax:
Practice Address - Street 1:12101 ROYAL COACH DR
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-8124
Practice Address - Country:US
Practice Address - Phone:405-237-9048
Practice Address - Fax:405-429-8233
Is Sole Proprietor?:No
Enumeration Date:2014-05-17
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6893101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional