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Individual
JOSE A. LOPEZ
Active
Individual
JOSE A. LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13289
TX
101YP2500X
Professional Counselor
Primary
79809
TX
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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