Individual
LIZETTE MARIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
10631 N KENDALL DR STE 155, MIAMI, FL 33176-1559
(786) 735-2011
Mailing address
10631 N KENDALL DR STE 155, MIAMI, FL 33176-1559
(786) 735-2011
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP 5267
FL
106H00000X
Marriage & Family Therapist
Primary
MT2816
FL
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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