Individual
HERLINDA C LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6621 DONIPHAN DR STE G, CANUTILLO, TX 79835-5005
(575) 882-5100
Mailing address
PO BOX 2671, ANTHONY, NM 88021-2671
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T0139841
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T0139841
—
NM
Enumeration date
06/20/2011
Last updated
06/20/2011
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