Individual
JOHN COLLINS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, MPH
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
501 PELHAM DR APT O207, COLUMBIA, SC 29209-1387
(803) 429-2377
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
10/25/2018
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