Individual
AMANDA NOEMI LOPEZ-MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1446 N KEDZIE AVE FL 1, CHICAGO, IL 60651-2423
(312) 487-2158
Mailing address
1446 N KEDZIE AVE FL 1, CHICAGO, IL 60651-2423
(312) 487-2158
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.012208
IL
106H00000X
Marriage & Family Therapist
Primary
208.000983
IL
Other
Enumeration date
02/02/2023
Last updated
04/30/2026
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