Individual
DIANA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPCC
Contact information
Practice address
6301 CENTRAL AVE NW, ALBUQUERQUE, NM 87105-2036
(505) 831-6038
(505) 352-3400
Mailing address
6301 CENTRAL AVE NW, ALBUQUERQUE, NM 87105-2036
(505) 831-6038
(505) 352-3400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0944
NM
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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