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Individual
DR. JORGE LOPEZ
Active
Individual
DR. JORGE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, CRC, LPC,NCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-8879
ID
101YM0800X
Mental Health Counselor
Primary
LPC-8879
ID
225C00000X
Rehabilitation Counselor
445968
—
Other
Enumeration date
12/03/2024
Last updated
11/14/2025
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