SHANNON P LOPEZ

CHEHALIS, WA
NPI1225714082
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO61367990)
Enumeration Date2023-06-26
Last Update Date2023-06-26
Business Address
SHANNON P LOPEZ SUDPT
500 SE WASHINGTON AVE
CHEHALIS, WA 98532-3058
Phone number: 360-748-4776
Mailing Address
SHANNON P LOPEZ SUDPT
500 SE WASHINGTON AVE
CHEHALIS, WA 98532-3058
Phone number: 360-748-4776
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