Individual
SANDRA VIVIANA SEVERO-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4572 S HAGADORN RD, EAST LANSING, MI 48823-5385
(517) 481-2133
Mailing address
1690 ONONDAGA RD, HOLT, MI 48842-9645
(517) 528-3739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MI
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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