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General NPI Number Information
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NPI Number | 1831315100
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Entity Type | Individual
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Provider Name | FAITH LORRAINE NORTHINGTON MS MHC
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Gender | Female
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 74 5533 LUHIA ST STE # B 1A 394
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City | KAILUA KONA
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State | HI
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Zip | 96740
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Country | US
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Telephone | 808-722-6755
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Fax | 808-443-0213
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Provider Business Mailing Address
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Address Line | 74 5533 LUHIA ST STE # B 1A 394
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City | KAILUA KONA
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State | HI
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Zip | 96740
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Country | US
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Telephone | 808-722-6755
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Fax | 808-443-0213
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 169
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4006
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4245
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License Number State | NC
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