Basic Information
| Provider Information | |||||||||
| NPI: | 1427440759 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MURRAY | ||||||||
| FirstName: | JAMI | ||||||||
| MiddleName: | CARL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | ED.D., LPC, NBCC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2025 FENDALL ST SE | ||||||||
| Address2: | MAIN OFFICE | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200204826 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2027978806 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2025 FENDALL ST SE | ||||||||
| Address2: | MAIN OFFICE | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200204826 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2027978806 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/24/2015 | ||||||||
| LastUpdateDate: | 02/24/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | PRC14193 | DC | Y | Behavioral Health & Social Service Providers | Counselor | Professional | 101YP2500X | LC4816 | MD | N | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.