Individual
RENEE LORRAINE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4411 SUWANEE DAM RD STE 545, SUWANEE, GA 30024-8708
(404) 981-5084
Mailing address
958 MIDDLE FORK TRL, SUWANEE, GA 30024-1709
(303) 748-1464
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY004647
GA
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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