Individual
MR. CARLOS A LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCADC
Contact information
Practice address
19-21 BELMONT AVE, DOVER, NJ 07801-4107
(973) 361-5555
(973) 361-7354
Mailing address
19-21 BELMONT AVE, DOVER, NJ 07801-4107
(973) 361-5555
(973) 361-7354
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00097800
NJ
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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