Individual
KIMBERLY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 NE OAK VIEW DR, VANCOUVER, WA 98662
(360) 567-2211
Mailing address
11609 NW 30TH CT, VANCOUVER, WA 98685-3480
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60400610
WA
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
08/13/2019
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