Individual
ERLINDA VARONE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
590 ELLIS RD S, JACKSONVILLE, FL 32254-3555
(904) 891-6891
Mailing address
590 ELLIS RD S, JACKSONVILLE, FL 32254-3555
(904) 891-6891
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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