Individual
THERESA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1449 CLEVELAND AVE N, SAINT PAUL, MN 55108-1413
(651) 645-5323
Mailing address
1449 CLEVELAND AVE N, SAINT PAUL, MN 55108-1413
(651) 645-5323
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4562
MN
Other
Enumeration date
11/26/2021
Last updated
12/27/2023
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