Individual
MRS. CAROL A LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW,CACIII
Contact information
Practice address
3500 BALTIMORE AVE, PUEBLO, CO 81008-1543
(719) 545-1181
(719) 545-1191
Mailing address
3500 BALTIMORE AVE, PUEBLO, CO 81008-1543
(719) 545-1181
(719) 545-1191
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4885
CO
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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