Individual
MS. DELORES DEBRA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.A.S.A.C.
Contact information
Practice address
500 8TH AVE, 3RD FLOOR, NEW YORK, NY 10018-6504
(212) 904-1500
Mailing address
365 51ST ST, APT. #3, BROOKLYN, NY 11220-1807
(718) 439-8034
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11478
NY
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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