Individual
ANITA LOUISE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5329 DIJON DR, BATON ROUGE, LA 70808-4378
(225) 715-7862
Mailing address
3704 N CEDAR ST, ZACHARY, LA 70791-4472
(225) 715-7862
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5530
LA
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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