Individual
CARLA GUADALUPE LOPEZ AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 E PLUM ST, MOSES LAKE, WA 98837-1874
(509) 764-2011
Mailing address
1844 W BROADWAY AVE UNIT 6, MOSES LAKE, WA 98837-2659
(509) 770-9994
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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