Provider Demographics
NPI:1679996409
Name:MURRAY, JONATHAN (LCSW)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:MURRAY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10501 W GOWAN RD STE 130
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-6602
Mailing Address - Country:US
Mailing Address - Phone:702-937-2136
Mailing Address - Fax:725-269-1569
Practice Address - Street 1:10501 W GOWAN RD STE 130
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-6602
Practice Address - Country:US
Practice Address - Phone:702-937-2136
Practice Address - Fax:725-269-1569
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-30
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselor