Individual
SARA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
442 MOOSEHEAD TRL, NEWPORT, ME 04953-4004
(207) 942-3816
(207) 561-4725
Mailing address
29 FRANKLIN ST, BANGOR, ME 04401-4909
(207) 942-3816
(207) 561-4725
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL4003
ME
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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