Individual
MS. ANGELA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
720 E LAKE ST, MINNEAPOLIS, MN 55407-1547
(612) 746-3500
(612) 871-1058
Mailing address
720 E LAKE ST, MINNEAPOLIS, MN 55407-1547
(612) 746-3500
(612) 871-1058
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HP42372
H PARTNERS PROV NUMBER
MN
Enumeration date
03/20/2007
Last updated
07/08/2007
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