Individual
MRS. SHERITH LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
2400 N CENTRAL AVE, PHOENIX, AZ 85004-1341
(602) 264-9891
Mailing address
2400 N CENTRAL AVE, PHOENIX, AZ 85004-1341
(602) 264-9891
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-0954
AZ
Other
Enumeration date
05/08/2011
Last updated
05/08/2011
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