Individual
KATRINA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 SHARRON AVE, PLATTSBURGH, NY 12901-4700
(518) 561-1447
Mailing address
11 STATION ST, ALTONA, NY 12910-2028
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4556
NY
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/26/2020
Last updated
07/24/2024
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