Individual
AMY LYNN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
4402 S 68TH ST, SUITE 100, GREENFIELD, WI 53220-3479
(414) 321-4411
(414) 321-0552
Mailing address
4402 S 68TH ST, SUITE 100, GREENFIELD, WI 53220-3479
(414) 321-4411
(414) 321-0552
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4256-125
WI
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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