Individual
MS. VIELKA G LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
166 PLEASANT ST, UPTON, MA 01568-1410
(617) 309-0115
Mailing address
166 PLEASANT ST, UPTON, MA 01568-1410
(508) 656-0122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1786-MH-MF
MA
106H00000X
Marriage & Family Therapist
Primary
1786-MH-MF
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000023532
BMC
MA
01
—
042611055
TAX ID
MA
01
—
1004745
NHP
MA
01
—
1303287
MBHP
MA
05
—
1303287
—
MA
01
—
99618201
NETWORK HEALTH
—
01
—
M18633
BCBS
MA
Enumeration date
07/31/2012
Last updated
06/27/2025
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