Individual
LILY BATEMAN-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
US 84 CR 324 #14, TIERRA AMARILLA, NM 87575-0250
(505) 588-9506
(505) 588-7188
Mailing address
PO BOX 263, TIERRA AMARILLA, NM 87575-0263
(505) 588-7205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1675
NM
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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