Individual
MR. RUEBEN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
4867 E BELTLINE AVE NE STE 4, GRAND RAPIDS, MI 49525-9787
(616) 292-4594
Mailing address
4867 E BELTLINE AVE NE STE 4, GRAND RAPIDS, MI 49525-9787
(616) 292-4594
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015211
MI
Other
Enumeration date
10/03/2016
Last updated
03/19/2024
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