Individual
CHARLES LOPEZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5250 LEETSDALE DR, SUITE 220, DENVER, CO 80246-1438
(303) 629-5293
Mailing address
5250 LEETSDALE DR, SUITE 220, DENVER, CO 80246-1438
(303) 629-5293
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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