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Individual

MR. CHARLES A LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.P.C.

Contact information

Practice address
407 ESSEX ST, MILLBURN, NJ 07041-1316
(973) 309-0952
(973) 912-0103
Mailing address
407 ESSEX ST, MILLBURN, NJ 07041-1316
(973) 309-0952
(973) 912-0103

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00366500
NJ

Other

Enumeration date
11/28/2006
Last updated
05/26/2015
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