Individual
LUBY VANESSA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1808 MICHIGAN AVE, KENNER, LA 70062-6022
(504) 606-1981
Mailing address
1808 MICHIGAN AVE, KENNER, LA 70062-6022
(504) 606-1981
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/09/2017
Last updated
07/21/2022
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