Individual
MS. PAULA R LUPO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
2187 SWANSON AVE, LAKE HAVASU CITY, AZ 86403-6838
(928) 855-3432
(928) 757-3256
Mailing address
1743 SYCAMORE AVE, MOHAVE MENTAL HEATLH CLINIC INC, KINGMAN, AZ 86409-0927
(928) 757-8111
(928) 757-3256
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC1334
AZ
Other
Enumeration date
10/11/2005
Last updated
07/08/2007
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