Individual
JOSE LUIS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
5748 N BROADWAY ST, KANSAS CITY, MO 64118-3998
(913) 213-3645
Mailing address
5748 N BROADWAY ST, KANSAS CITY, MO 64118-3998
(913) 213-3645
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
06757
KS
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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