Individual
VIRGINIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
443 S 600 E, SLC, UT 84102-2708
(801) 536-6523
Mailing address
4460 S HIGHLAND DR, SLC, UT 84124-3543
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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