Individual
ALEXIS MICHELLE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8411 TITKOS DR APT 301, KISSIMMEE, FL 34747-3316
(954) 732-0040
Mailing address
8411 TITKOS DR APT 301, KISSIMMEE, FL 34747-3316
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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