Individual
MARIA BRIANNA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 CLEVELAND ST, GREENVILLE, SC 29607-2410
(864) 467-3790
Mailing address
105 HAILEY CT, GREENWOOD, SC 29649-2273
(864) 554-8625
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891795738
THE PHOENIX CENTER
SC
Enumeration date
12/22/2021
Last updated
12/22/2021
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