Individual
TAMMIE RENEE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC-I, CPGC-I
Contact information
Practice address
1334 S MARYLAND PKWY STE 3, LAS VEGAS, NV 89104-3310
(818) 455-9100
Mailing address
1030 SWEENEY AVE, LAS VEGAS, NV 89104-1660
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
08203-IG
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
08204-I
NV
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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