Individual
CHRISTIANA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3660 N LAKE SHORE DR APT 1506, CHICAGO, IL 60613
(708) 317-9173
Mailing address
3660 N LAKE SHORE DR APT 1506, CHICAGO, IL 60613-5308
(708) 317-9173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178009300
IL
101YM0800X
Mental Health Counselor
Primary
180009673
IL
Other
Enumeration date
01/21/2014
Last updated
01/14/2019
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