Individual
BRANDI GINAI LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9333 S THROOP ST, CHICAGO, IL 60620-3623
(773) 263-1751
Mailing address
9333 S THROOP ST, CHICAGO, IL 60620-3623
(773) 263-1751
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.010259
IL
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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