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Individual

ANGEL LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC, NCC, MCAP, QS

Contact information

Practice address
14802 SW 183RD TER, MIAMI, FL 33187-1929
(786) 319-7035
Mailing address
8249 SW 149TH CT APT 204, MIAMI, FL 33193-3103
(786) 319-7035

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
MH13694
FL

Other

Enumeration date
09/20/2013
Last updated
02/12/2024
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