Provider Demographics
NPI:1326139429
Name:DAGG-MURRY, DAVID (PCC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:DAGG-MURRY
Suffix:
Gender:M
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3048 COLUMBUS LANCASTER RD NW
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-8125
Mailing Address - Country:US
Mailing Address - Phone:740-652-5652
Mailing Address - Fax:740-422-1548
Practice Address - Street 1:3048 COLUMBUS LANCASTER RD NW
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-8125
Practice Address - Country:US
Practice Address - Phone:740-652-5652
Practice Address - Fax:740-422-1548
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE3699101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional