Individual
MS. SANDRA P LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9200 W LOOMIS RD, #217, FRANKLIN, WI 53132-8887
(414) 529-9180
(414) 529-9189
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1227-125
WI
101Y00000X
Counselor
63753-030
WI
101YP2500X
Professional Counselor
Primary
1227-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39402200
—
WI
Enumeration date
08/23/2006
Last updated
01/19/2012
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