CONSTANTINO LOPEZ

HOOD RIVER, OR
NPI1477853166
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  96-04-143 CADCII)
Enumeration Date2010-10-27
Last Update Date2010-10-27
Business Address
-- CONSTANTINO LOPEZ CADC
1610 WOODS CT
HOOD RIVER, OR 97031-2911
Phone number: 541-386-2620
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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