Individual
ANTHONY FELICIANO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHC
Contact information
Practice address
1420 BUSHWICK AVE, BROOKLYN, NY 11207-1422
(718) 602-2513
Mailing address
1420 BUSHWICK AVE, BROOKLYN, NY 11207-1422
(718) 602-2513
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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