Individual
MR. JOSE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
132 W GRAYSON ST, SAN ANTONIO, TX 78212-4114
(210) 224-7330
(210) 224-2472
Mailing address
132 W GRAYSON ST, SAN ANTONIO, TX 78212-4114
(210) 224-7330
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2460
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028932401
—
TX
Enumeration date
06/14/2006
Last updated
01/09/2012
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