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Individual

JORDAN LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC-A

Contact information

Practice address
8 MORGAN BLVD, VALPARAISO, IN 46383-4836
(219) 525-1737
Mailing address
8 MORGAN BLVD, VALPARAISO, IN 46383-4836
(219) 525-1737

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88002303A
IN

Other

Enumeration date
11/17/2021
Last updated
02/11/2025
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