Individual
AMANDA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC, SUDPT
Contact information
Practice address
902 PINE ST, EVERETT, WA 98201-1403
(425) 471-6100
Mailing address
6630 BROADWAY, EVERETT, WA 98203-4841
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO61465676
WA
101YM0800X
Mental Health Counselor
Primary
LH61678752
WA
Other
Enumeration date
04/04/2023
Last updated
12/19/2025
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