Individual
MRS. NATASHA ANN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7565 E EAGLE CREST DR STE 201, MESA, AZ 85207-1067
(480) 788-5069
(480) 634-8850
Mailing address
528 S SPUR, MESA, AZ 85204-2719
(480) 826-1978
(702) 998-2991
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
01498
NV
106H00000X
Marriage & Family Therapist
Primary
LMFT-15540
AZ
225400000X
Rehabilitation Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679879902
—
NV
Enumeration date
02/03/2011
Last updated
04/17/2024
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