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Individual
CRYSTAL LOPEZ
Active
Individual
CRYSTAL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-S
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
68658
TX
101YP2500X
Professional Counselor
Primary
68658
TX
Other
Enumeration date
11/04/2015
Last updated
09/30/2022
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