Individual
NICOLE ANN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2834 SW INDIAN PL, REDMOND, OR 97756-1596
(541) 279-7831
Mailing address
2834 SW INDIAN PL, REDMOND, OR 97756-1596
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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