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Individual

JACLYNN JEAN LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2429 NE 10TH ST APT 3, OKLAHOMA CITY, OK 73117-5039
(405) 268-9817
Mailing address
2429 NE 10TH ST APT 3, OKLAHOMA CITY, OK 73117-5039
(405) 268-9817

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
07/07/2016
Last updated
07/07/2016
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