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Individual

CARLOS LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 DONALD ROSS DR, RALEIGH, NC 27610-2593
(919) 250-3320
Mailing address
200 E MAIN ST, SUITE 201, CLAYTON, NC 27520-2472

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-22117
NC
101YP2500X
Professional Counselor
Primary
A12129
NC

Other

Enumeration date
08/05/2015
Last updated
01/12/2024
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