Individual
PATTY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
906 N 1ST ST, GRANTS, NM 87020-2806
(505) 287-7985
(505) 287-3814
Mailing address
PO BOX 518, LOS LUNAS, NM 87031-0518
(505) 865-3350
(505) 865-4739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0134111
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44842
—
NM
Enumeration date
06/21/2012
Last updated
06/21/2012
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