Basic Information
| Provider Information | |||||||||
| NPI: | 1235549916 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MURRAY | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
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| Credential: | |||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | CONBERE | ||||||||
| OtherFirstName: | EMILY | ||||||||
| OtherMiddleName: | |||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | LICSW | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 16150 NE 85TH ST | ||||||||
| Address2: | SUITE 222 | ||||||||
| City: | REDMOND | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980523539 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4258696687 | ||||||||
| FaxNumber: | 8778804388 | ||||||||
| Practice Location | |||||||||
| Address1: | 16150 NE 85TH ST | ||||||||
| Address2: | SUITE 222 | ||||||||
| City: | REDMOND | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980523539 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4258696687 | ||||||||
| FaxNumber: | 8778804388 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2014 | ||||||||
| LastUpdateDate: | 05/02/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | LW60449365 | WA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.