Individual
CHALYSE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 E 2450 S STE 5A, ST GEORGE, UT 84790-6285
(435) 767-1011
Mailing address
434 N 250 W, LA VERKIN, UT 84745-5202
(435) 691-0843
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12317059-6009
—
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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