Individual
ABRAHAM DANIEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3436 MARY ELDER RD NE, OLYMPIA, WA 98506-5050
(360) 528-2590
Mailing address
2106 WALNUT RD NW, OLYMPIA, WA 98502-4103
(360) 556-7994
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/30/2019
Last updated
11/30/2019
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