Individual
VIRGINIA LARIOS-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS, CRM, CADC I
Contact information
Practice address
565 UNION ST NE STE 105, SALEM, OR 97301-2416
(503) 363-2021
Mailing address
PO BOX 17818, SALEM, OR 97305-7818
(503) 363-2021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
11/07/2023
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