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1477853166
CONSTANTINO LOPEZ
HOOD RIVER, OR
NPI
1477853166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR 96-04-143 CADCII)
Enumeration Date
2010-10-27
Last Update Date
2010-10-27
Business Address
CONSTANTINO LOPEZ CADC
1610 WOODS CT
HOOD RIVER, OR 97031-2911
Phone number: 541-386-2620
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Mailing Address
CONSTANTINO LOPEZ CADC
419 E 7TH ST STE 207
THE DALLES, OR 97058-2676
Phone number: 541-296-5452
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