Individual
OLIVIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCGC
Contact information
Practice address
818 SAINT SEBASTIAN WAY STE 205, AUGUSTA, GA 30901-2652
(706) 774-4167
Mailing address
818 SAINT SEBASTIAN WAY STE 205, AUGUSTA, GA 30901-2652
(706) 774-4167
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
824
GA
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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