Individual
KAELA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 SW ANKENY RD, ANKENY, IA 50023-9702
(515) 289-2272
Mailing address
501 SW ANKENY RD, ANKENY, IA 50023-9702
(515) 289-2272
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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