Individual
DJAMILA LOPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
500 VICTORY RD, QUINCY, MA 02171-3139
(617) 847-1950
(617) 774-1490
Mailing address
10 OWENS AVE # 2, BROCKTON, MA 02301-6014
(617) 750-3869
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
S47730697
MA
103K00000X
Behavior Analyst
S47730697
MA
Other
Enumeration date
08/10/2015
Last updated
10/27/2020
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