Individual
BETHANY BERNICE LOPEZ-CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6400 SE LAKE RD STE 250, MILWAUKIE, OR 97222-2129
(541) 900-4285
Mailing address
6400 SE LAKE RD STE 250, MILWAUKIE, OR 97222-2129
(541) 900-4285
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
WA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C8787
OR
Other
Enumeration date
10/25/2018
Last updated
12/14/2024
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