Individual
PATRICIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5203 JUAN TABO BLVD NE STE 2A, ALBUQUERQUE, NM 87111-2691
(505) 753-9719
(505) 221-5710
Mailing address
5203 JUAN TABO BLVD NE STE 2A, ALBUQUERQUE, NM 87111-2691
(505) 753-9719
(505) 221-5710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/19/2013
Last updated
04/15/2014
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