Individual
ANGELICA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 RAND RD, DES PLAINES, IL 60016-3509
(847) 376-2106
Mailing address
3644 S 53RD CT, CICERO, IL 60804-4434
(773) 307-2859
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
03/17/2018
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