Individual
CHRISTINE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMLP
Contact information
Practice address
8629 BLUEJACKET ST, LENEXA, KS 66214-1604
(913) 677-3553
Mailing address
8629 BLUEJACKET ST, LENEXA, KS 66214-1604
(913) 677-3553
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
03115-T
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100240930A
KANSAS MEDICAID
KS
Enumeration date
03/14/2022
Last updated
03/14/2022
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