Individual
ADRIAN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACMHC
Contact information
Practice address
185 S 400 E STE 100, BOUNTIFUL, UT 84010-4862
(801) 298-4112
Mailing address
921 W STONEHAVEN DR, NORTH SALT LAKE, UT 84054-5070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13117817-6009
UT
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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