Provider Demographics
NPI:1326565599
Name:CROWLEY, LORI LUCILLE (LMFT/LPCC)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:LUCILLE
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:LMFT/LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 AVENIDA DE ORINDA
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-2305
Mailing Address - Country:US
Mailing Address - Phone:707-234-5545
Mailing Address - Fax:
Practice Address - Street 1:35 AVENIDA DE ORINDA
Practice Address - Street 2:
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-2305
Practice Address - Country:US
Practice Address - Phone:707-234-5545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-28
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10892101YP2500X
CA121471106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional