Individual
JOEL ISAAC LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., PHD-ABD
Contact information
Practice address
7009 W KIMBERLY WAY, GLENDALE, AZ 85308-5759
(602) 488-1172
Mailing address
7009 W KIMBERLY WAY, GLENDALE, AZ 85308-5759
(602) 488-1172
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC23654
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC23654
AZ
101YM0800X
Mental Health Counselor
LPC23654
AZ
Other
Enumeration date
12/07/2009
Last updated
02/05/2025
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