Individual
ANA KAREN HUERTA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
806 HAY ST, FAYETTEVILLE, NC 28305-5312
(910) 860-7008
Mailing address
1706 SHILOH DR, FAYETTEVILLE, NC 28304-4027
(702) 428-4579
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12195A
NC
Other
Enumeration date
04/27/2018
Last updated
02/09/2020
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