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1215537303
RICHARD ANTHONY LOPEZ
PUEBLO, CO
NPI
1215537303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO 0001557)
Enumeration Date
2020-10-28
Last Update Date
2020-10-28
Business Address
RICHARD ANTHONY LOPEZ MS, LAC, CAS
509 E 13TH ST
PUEBLO, CO 81001-2940
Phone number: 719-556-6666
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Mailing Address
RICHARD ANTHONY LOPEZ MS, LAC, CAS
509 E 13TH ST
PUEBLO, CO 81001-2940
Phone number: 719-546-6666
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