Individual
DAVID LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 WASHINGTON ST STE 200, WAUKEGAN, IL 60085-5564
(224) 637-3855
Mailing address
415 WASHINGTON ST STE 200, WAUKEGAN, IL 60085-5564
(224) 637-3855
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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