Individual
LARRY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 E MABEL ST, TUCSON, AZ 85705-6654
(520) 524-4757
Mailing address
3801 E CALLE ALTAR, TUCSON, AZ 85716-5113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-23294
AZ
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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