Individual
MONICA NADINE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
2250 NW FLANDERS ST, PORTLAND, OR 97210-3443
(503) 427-1952
Mailing address
110 WARNER MILNE RD, OREGON CITY, OR 97045-4042
(503) 730-1469
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
06/20/2023
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