Individual
DIANE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 KIETZKE LN STE M246, RENO, NV 89502
(775) 200-0935
Mailing address
4600 KIETZKE LN STE M246, RENO, NV 89502-5000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
07/20/2015
Last updated
07/21/2018
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