Individual
MR. RONNY FREDERICK LOPEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC, ICADC
Contact information
Practice address
1017C PAWAA LN, HONOLULU, HI 96826-2185
(808) 941-5869
(808) 941-2987
Mailing address
1017C PAWAA LN, HONOLULU, HI 96826-2185
(808) 941-5869
(808) 941-2987
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1492-09
HI
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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