Individual
AMBRIEL MARIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
10535 165TH ST W, LAKEVILLE, MN 55044-5729
(952) 435-0022
(952) 435-0095
Mailing address
10535 165TH ST W, LAKEVILLE, MN 55044-5729
(952) 435-0022
(952) 435-0095
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4454
MN
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
MN
Other
Enumeration date
11/15/2023
Last updated
07/29/2024
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