Individual
MS. RACHEL SALES LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LCSW
Contact information
Practice address
6445 MULLAN RD, APT B, MISSOULA, MT 59808-5615
(406) 745-5555
(406) 745-2627
Mailing address
6445 MULLAN RD, APT B, MISSOULA, MT 59808-5615
(406) 745-5555
(406) 745-2627
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
906
MT
1041C0700X
Clinical Social Worker
Primary
1031
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1031
MT DEPT OF OCCUPATIONAL LICENSING
MT
01
—
906
STATE OF MONTANA
MT
Enumeration date
08/26/2010
Last updated
03/08/2017
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