Individual
ANNYA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
Mailing address
9350 SW 77TH AVE, #G6, MIAMI, FL 33156-7999
(786) 269-8775
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH11824
FL
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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