Individual
JESENIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9 RUMANA RD, WAYNE, NJ 07470-3721
(973) 454-6238
Mailing address
9 RUMANA RD, WAYNE, NJ 07470-3721
(973) 454-6238
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00768200
NJ
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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