Individual
ELIAMONIC LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
200 LEAKE ST STE 106, CARTERSVILLE, GA 30120-3562
(770) 615-0218
Mailing address
200 LEAKE ST STE 106, CARTERSVILLE, GA 30120-3562
(770) 615-0218
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
007110
GA
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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