Individual
MR. ANGEL LOPEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
339 E ROBERTSON ST, BRANDON, FL 33511-5253
(813) 662-4214
Mailing address
2008 REDBRIDGE DR, BRANDON, FL 33511-8392
(813) 957-6111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH11842
FL
Other
Enumeration date
05/28/2015
Last updated
08/25/2015
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