MIKE LOPEZ

MOSES LAKE, WA
NPI1144257684
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  RC00055015)
Enumeration Date2006-06-28
Last Update Date2007-07-08
Business Address
-- MIKE LOPEZ MSW
840 E PLUM
MOSES LAKE, WA 98837
Phone number: 509-765-9239
Mailing Address
-- MIKE LOPEZ MSW
903 W OREGON ST
MOSES LAKE, WA 98837-1650
Phone number: 509-765-9239