Individual
THOMAS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
10 SOMERDALE SQUARE, 1200 SOUTH WHITE HORSE PIKE, SOMERDALE, NJ 08083-1345
(755) 649-1821
Mailing address
2701 RENAISSANCE BLVD FL 4, KING OF PRUSSIA, PA 19406-2781
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/17/2021
Last updated
06/13/2025
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