Individual
ANA LIDIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 RIVER ST, MATTAPAN, MA 02126-2713
(617) 534-2922
Mailing address
1010 MASSACHUSETTS AVE FL 6, BOSTON, MA 02118-2600
(617) 534-3134
(617) 534-2611
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/17/2018
Last updated
06/05/2020
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