Individual
ASHLEY NICOLE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3161 FELLSWOOD LN, PORT NECHES, TX 77651-6006
(409) 549-2055
(409) 344-9046
Mailing address
3161 FELLSWOOD LN, PORT NECHES, TX 77651-6006
(409) 540-2055
(409) 344-9046
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
79291
TX
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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