Provider Demographics
NPI:1699102673
Name:MURPHY, KATRINA LYNN COOK (MS, LCPC)
Entity type:Individual
Prefix:MS
First Name:KATRINA
Middle Name:LYNN COOK
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MS, LCPC
Other - Prefix:MS
Other - First Name:KATRINA
Other - Middle Name:LYNN
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 W. HARRISON ST.
Mailing Address - Street 2:
Mailing Address - City:SULLIVAN
Mailing Address - State:IL
Mailing Address - Zip Code:61951
Mailing Address - Country:US
Mailing Address - Phone:217-728-4358
Mailing Address - Fax:217-728-2270
Practice Address - Street 1:12 W. HARRISON ST.
Practice Address - Street 2:
Practice Address - City:SULLIVAN
Practice Address - State:IL
Practice Address - Zip Code:61951
Practice Address - Country:US
Practice Address - Phone:217-728-4358
Practice Address - Fax:217-728-2270
Is Sole Proprietor?:No
Enumeration Date:2013-10-04
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006684101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health