Individual
LEANNA R LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
159B PELHAM LN, MONROE TOWNSHIP, NJ 08831-3632
(732) 485-1822
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37AC00786900
NJ
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/17/2023
Last updated
04/23/2024
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