Individual
CONOR HAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3840 HULEN ST, HTN, CLIENT ACCOUNTING, FORT WORTH, TX 76107-7277
(817) 569-4300
Mailing address
PO BOX 2603, HTN, CLIENT ACCOUNTING, FORT WORTH, TX 76113-2603
(817) 569-4300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
64770
TX
101YP2500X
Professional Counselor
Primary
64770
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211035502
—
TX
05
—
211035503
—
TX
01
—
89954L
BCBS
—
Enumeration date
02/22/2010
Last updated
02/23/2011
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