Individual
MARTA TERESA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
325 S ORCHARD DR, #G318, NORTH SALT LAKE, UT 84054-1824
(801) 214-4478
Mailing address
165 N UNIVERSITY AVE, FARMINGTON, UT 84025-2990
(801) 213-6746
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
8983541-3501
UT
Other
Enumeration date
04/29/2011
Last updated
12/14/2021
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