Individual
MRS. SANDRA LOUISE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10520 JUDICIAL DR, FAIRFAX, VA 22030-5115
(703) 246-4454
Mailing address
10520 JUDICIAL DR, MENTAL HEALTH UNIT, FAIRFAX, VA 22030-5115
(703) 246-4454
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0718000165
VA
101YP2500X
Professional Counselor
0701003881
VA
Other
Enumeration date
12/06/2006
Last updated
09/11/2025
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