JORGE ANTONIO LOPEZ

LEESBURG, FL
NPI1386076594
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: FL  MH16456)
Enumeration Date2013-07-30
Last Update Date2018-11-26
Business Address
MR. JORGE ANTONIO LOPEZ LMHC
2018 TALLY RD
LEESBURG, FL 34748
Phone number: 352-315-7400
Mailing Address
MR. JORGE ANTONIO LOPEZ LMHC
PO BOX 491000
LEESBURG, FL 34749-1000
Phone number:
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