Individual
PAOLA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5022 CAMPBELL BLVD, NOTTINGHAM, MD 21236-4969
(240) 370-1961
Mailing address
5022 CAMPBELL BLVD, NOTTINGHAM, MD 21236-4969
(240) 370-1961
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP13098
MD
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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