Individual
TERESA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 NW BOARDMAN AVE., BOARDMAN, OR 97818
(541) 481-2911
(541) 481-2006
Mailing address
488 S TOWNSEND RD, P.O. BOX 659, HERMISTON, OR 97838-6741
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/17/2007
Last updated
09/11/2025
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