Individual
CHARISSA HARWELL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6301 GASTON AVE STE 1225, DALLAS, TX 75214-3959
(214) 554-4468
Mailing address
6301 GASTON AVE STE 1225, DALLAS, TX 75214-3959
(214) 554-4468
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
73709
TX
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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