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Individual
LUIS JOSE LOPEZ
Active
Individual
LUIS JOSE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH18482
FL
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
Primary
MH18482
FL
Other
Enumeration date
04/05/2016
Last updated
04/06/2021
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