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General NPI Number Information
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NPI Number | 1104170133
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Entity Type | Individual
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Provider Name | HAL WILLIAM LEVINE LMFT, LPCC
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Gender | Male
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Dates
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Enumeration Date | 10/29/2012
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Last Update Date | 10/29/2012
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Provider Practice Location Address
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Address Line | 24100 AMADOR ST
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City | HAYWARD
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State | CA
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Zip | 94544-1273
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Country | US
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Telephone | 510-259-1800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 21062
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-9062
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Country | US
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Telephone | 510-415-9114
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Fax | 510-550-7997
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC 11
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 19873
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License Number State | CA
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