Individual
DR. JORGE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, CRC, LPC,NCC
Contact information
Practice address
784 S CLEARWATER LOOP STE 8027, POST FALLS, ID 83854-9599
(208) 243-9693
Mailing address
784 S CLEARWATER LOOP STE 8027, POST FALLS, ID 83854-9599
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-8879
ID
101YM0800X
Mental Health Counselor
Primary
LPC-8879
ID
225C00000X
Rehabilitation Counselor
445968
—
Other
Enumeration date
12/03/2024
Last updated
11/14/2025
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