Individual
MS. ANDREA ELENA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 W 19TH TER, KANSAS CITY, MO 64108-2026
(816) 404-5709
(816) 404-6024
Mailing address
2211 CHARLOTTE ST, KANSAS CITY, MO 64108-2733
(816) 404-5816
(816) 404-5845
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2008018993
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499164705
—
MO
Enumeration date
10/24/2008
Last updated
11/19/2020
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