CARLOS G LOPEZ

PORT ORCHARD, WA
NPI1083182885
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60613823)
Enumeration Date2018-11-09
Last Update Date2018-11-09
Business Address
CARLOS G LOPEZ
1415 LUMSDEN RD
PORT ORCHARD, WA 98367-9179
Phone number: 360-881-7878
Mailing Address
CARLOS G LOPEZ
1415 LUMSDEN RD
PORT ORCHARD, WA 98367-9179
Phone number: 360-881-7878
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