Individual
JASMIN M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
166 MAIN ST, MATAWAN, NJ 07747-3104
(732) 290-9040
Mailing address
PO BOX 303, BRICK, NJ 08723-0303
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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