Provider Demographics
NPI:1972377463
Name:MURRAY, MICHAEL FRANCIS JR (MSW, LICSW, SUDP)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:FRANCIS
Last Name:MURRAY
Suffix:JR
Gender:M
Credentials:MSW, LICSW, SUDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2013 19TH ST
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-2306
Mailing Address - Country:US
Mailing Address - Phone:425-283-5315
Mailing Address - Fax:425-283-5247
Practice Address - Street 1:2013 19TH ST
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-2306
Practice Address - Country:US
Practice Address - Phone:425-283-5315
Practice Address - Fax:425-283-5247
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP60118595101YA0400X
WALW608024941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)