Individual
EVELYN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCMHCA, NCC
Contact information
Practice address
500 EAST BLVD, CHARLOTTE, NC 28203-5110
(980) 389-0619
Mailing address
500 EAST BLVD, CHARLOTTE, NC 28203-5110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17269
NC
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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