Provider Demographics
NPI:1932419157
Name:MURPHY, KATHY JO (LCMHC)
Entity type:Individual
Prefix:MS
First Name:KATHY JO
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 225
Mailing Address - Street 2:
Mailing Address - City:HANCOCK
Mailing Address - State:NH
Mailing Address - Zip Code:03449-0225
Mailing Address - Country:US
Mailing Address - Phone:603-831-1686
Mailing Address - Fax:603-831-3616
Practice Address - Street 1:58 BONDS CORNER RD
Practice Address - Street 2:
Practice Address - City:HANCOCK
Practice Address - State:NH
Practice Address - Zip Code:03449-5807
Practice Address - Country:US
Practice Address - Phone:603-831-1686
Practice Address - Fax:603-525-3616
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-21
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3101892Medicaid