Individual
MARTINE T LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
184 UNSER BLVD NE, RIO RANCHO, NM 87124-4045
(505) 896-0928
Mailing address
2549 TWIN BUTTES DR NE, RIO RANCHO, NM 87144-6742
(505) 796-2095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0129871
NM
Other
Enumeration date
03/09/2009
Last updated
10/19/2016
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