Individual
BENJAMIN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 S. MAIN ST., LAS CRUCES, NM 88001
(575) 647-2879
(575) 647-2898
Mailing address
100 W GRIGGS AVE, LAS CRUCES, NM 88001-1234
(575) 647-2879
(575) 647-2898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T0110121
NM
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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