Individual
ASHLEY NICOLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 N BRYAN RD, MISSION, TX 78572-6285
(956) 580-3303
(956) 580-1505
Mailing address
PO BOX 1689, PHARR, TX 78577-1630
(956) 787-8915
(956) 787-2021
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
905888
TX
Other
Enumeration date
06/05/2024
Last updated
10/02/2024
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