Individual
ELIZABETH LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
208 MALLOY ST STE B, GOLDSBORO, NC 27534-4478
(984) 520-6080
Mailing address
208 MALLOY ST STE B, GOLDSBORO, NC 27534-4478
(984) 520-6080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A29018
NC
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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