Individual
JOHANNA M LOPEZ MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1504 GALENA ST, AURORA, CO 80010-2219
(303) 617-2300
Mailing address
11059 E BETHANY DR, AURORA, CO 80014-2622
(303) 617-2300
(303) 617-2365
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NLC0106848
CO
1041C0700X
Clinical Social Worker
09925775
CO
Other
Enumeration date
10/12/2016
Last updated
02/09/2019
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