Individual
MARIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
4800 S 10TH ST, MILWAUKEE, WI 53221-2412
(414) 744-5370
Mailing address
4800 S 10TH ST, MILWAUKEE, WI 53221-2412
(414) 744-5370
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20258-130
WI
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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