Individual
IAN ALEXANDRE RAMOS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Contact information
Practice address
4651 SALISBURY RD STE 400, JACKSONVILLE, FL 32256-6187
(646) 941-7645
(929) 596-7897
Mailing address
1296 CROW WAY APT 208, CASSELBERRY, FL 32707-6464
(904) 860-1688
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH22718
FL
Other
Enumeration date
09/04/2024
Last updated
09/06/2024
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