Individual
PAMELA JO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5600 E 8TH AVE, SPOKANE VALLEY, WA 99212-0220
(509) 795-8357
Mailing address
5600 E 8TH AVE, SPOKANE VALLEY, WA 99212-0220
(509) 795-8357
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60582613
WA
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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