Provider Demographics
NPI:1316698293
Name:MCMURRAY, KATHLEEN WOODWARD (LCPC)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:WOODWARD
Last Name:MCMURRAY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ELRAY RD
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21087-1740
Mailing Address - Country:US
Mailing Address - Phone:410-507-8357
Mailing Address - Fax:
Practice Address - Street 1:10 ELRAY RD
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21087-1740
Practice Address - Country:US
Practice Address - Phone:410-507-8357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2202101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor