GUADALUPE MICHELLE LOPEZ-PONCE

VANCOUVER, WA
NPI1467035220
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-04-29
Last Update Date2021-04-29
Business Address
GUADALUPE MICHELLE LOPEZ-PONCE
1601 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661-3713
Phone number: 360-397-8246
Mailing Address
GUADALUPE MICHELLE LOPEZ-PONCE
5912 NE 100TH CIR
VANCOUVER, WA 98686-6092
Phone number: 360-218-6317