Individual
MRS. NICOLE ANNE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC LAC ADC
Contact information
Practice address
30 HAMPTON AVE, GREENVILLE, SC 29601
(864) 999-8957
Mailing address
30 HAMPTON AVE, GREENVILLE, SC 29601
(864) 999-8957
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
6828
SC
Other
Enumeration date
04/09/2013
Last updated
05/06/2024
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