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NPI 1710179833

NPI 1710179833 : BETHANY C CROWLEY LMFT : KAILUA, HI

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General NPI Number Information
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    NPI Number           |    1710179833
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    Entity Type          |    Individual 
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    Provider Name        |    BETHANY C CROWLEY LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/13/2007
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    Last Update Date     |    11/04/2025
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Provider Practice Location Address
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    Address Line         |    8 S KAINALU DR 
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    City                 |    KAILUA
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    State                |    HI
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    Zip                  |    96734-2722
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    Country              |    US
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    Telephone            |    808-277-2273
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    Fax                  |    866-278-4162
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Provider Business Mailing Address
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    Address Line         |    PO BOX 613 
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    City                 |    KAILUA
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    State                |    HI
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    Zip                  |    96734-0613
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    Country              |    US
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    Telephone            |    808-277-2273
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    Fax                  |    866-278-4162
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    MFT-166
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    License Number State |    HI
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