Individual
ANDREW ROBERT LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHC
Contact information
Practice address
1519 NYE RD, LYONS, NY 14489-9133
(315) 946-5722
Mailing address
197 SHERIDAN PARK, GENEVA, NY 14456-2039
(347) 466-0824
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P105907
NY
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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