Individual
MS. JUANITA DOLORES LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTER OF SOCIAL WOR
Contact information
Practice address
4851 INDEPENDENCE ST., SUITE 200, WHEATRIDGE, CO 80033-6715
(303) 425-0300
(303) 432-5071
Mailing address
4851 INDEPENDENCE STREET SUITE 200, JEFFERSON CENTER FOR MENTAL HEALTH, WHEATRIDGE, CO 80033-6715
(303) 425-0300
(303) 432-5071
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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