Individual
MRS. TRESIE MENISE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFC, CPC,CMC, PYSD
Contact information
Practice address
366 NEW BYHALIA RD STE 3A, COLLIERVILLE, TN 38017-3718
(901) 690-9696
Mailing address
366 NEW BYHALIA RD STE 3A, COLLIERVILLE, TN 38017-3718
(901) 690-9696
(901) 328-5578
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
18107097
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073168266
—
TN
Enumeration date
08/05/2019
Last updated
09/18/2020
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