Provider Demographics
NPI:1598807554
Name:SCURR, CRYSTAL (LMFT)
Entity Type:Individual
Prefix:MS
First Name:CRYSTAL
Middle Name:
Last Name:SCURR
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-017 KUAHELANI AVE APT 143
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-1657
Mailing Address - Country:US
Mailing Address - Phone:808-343-9049
Mailing Address - Fax:
Practice Address - Street 1:94-017 KUAHELANI AVE APT 143
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-1657
Practice Address - Country:US
Practice Address - Phone:808-343-9049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1517-10101YA0400X
CA32925106H00000X
AZ15203106H00000X
HI146106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)