Individual
MR. GABRIEL MANUEL LOPEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
4560 E BROADWAY BLVD STE 223, TUCSON, AZ 85711-3558
(520) 850-1114
Mailing address
4560 E BROADWAY BLVD STE 223, TUCSON, AZ 85711-3558
(502) 850-1114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-17543
AZ
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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