Individual
JANIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED PROFESSIONA
Contact information
Practice address
255 ASH ST, SAN BENITO, TX 78586-2498
(956) 970-0097
Mailing address
255 ASH ST, SAN BENITO, TX 78586-2498
(956) 970-0097
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
76028
—
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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