Individual
HALEY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 2ND AVE FL 3, BROOKLYN, NY 11215-2711
(718) 514-6007
Mailing address
130 MOORE ST APT 1A, BROOKLYN, NY 11206-3630
(347) 357-4078
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
38592
NY
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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