Provider Demographics
NPI:1124339577
Name:MURRAY, JEANNE P (LMFT)
Entity type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:P
Last Name:MURRAY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:
Other - Last Name:VANSCHAACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:1179 BOSTON POST RD FL 2
Mailing Address - Street 2:
Mailing Address - City:OLD SAYBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06475-4427
Mailing Address - Country:US
Mailing Address - Phone:860-480-8311
Mailing Address - Fax:
Practice Address - Street 1:114 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:CT
Practice Address - Zip Code:06413-2131
Practice Address - Country:US
Practice Address - Phone:860-664-0787
Practice Address - Fax:860-664-1982
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-30
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001338106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist