Individual
MAIRA ELIZABETH MEJIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC1, QMHA1
Contact information
Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 434-7523
Mailing address
1475 SW MYRTLE ST, DUNDEE, OR 97115-9735
(971) 264-4458
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
101YM0800X
Mental Health Counselor
—
OR
Other
Enumeration date
08/15/2023
Last updated
05/11/2026
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