Individual
AMBER GENTRY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LPC, CHST, RPT
Contact information
Practice address
505 SUMMER TREE CT, SPRINGTOWN, TX 76082-2267
(817) 946-9863
Mailing address
505 SUMMER TREE CT, SPRINGTOWN, TX 76082-2267
(817) 946-9863
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
74793
TX
Other
Enumeration date
11/26/2018
Last updated
01/16/2021
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