Individual
ANTUANETT LOPEZ SANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
420 W PEARL ST, JACKSON, WY 83001-9021
(307) 734-6040
Mailing address
PO BOX 10773, JACKSON, WY 83002-0773
(973) 914-5094
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2315
WY
Other
Enumeration date
08/12/2021
Last updated
10/30/2024
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