Individual
MS. BIANCA LYSSA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
6036 N MILE 6 1/2 W, WESLACO, TX 78599-3044
(956) 472-7200
Mailing address
6036 N MILE 6 1/2 W, WESLACO, TX 78599-3044
(956) 472-7200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
85520
TX
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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