Individual
LAURA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
642 HILLIARD ST STE 1311, MANCHESTER, CT 06042-2700
(860) 422-5762
Mailing address
642 HILLIARD ST STE 1311, MANCHESTER, CT 06042-2700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8528
CT
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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