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Individual
JUAN A LOPEZ
Active
Individual
JUAN A LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH10259
FL
103K00000X
Behavior Analyst
Primary
MH10259
FL
Other
Enumeration date
03/28/2014
Last updated
05/15/2018
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