Individual
ALICIA FAYE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
2209 E 32ND ST, TACOMA, WA 98404-4922
(253) 593-0247
(253) 593-3322
Mailing address
2209 E 32ND ST, TACOMA, WA 98404-4922
(253) 593-0247
(253) 593-3322
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00003504
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1993187
—
WA
Enumeration date
04/14/2007
Last updated
06/28/2016
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