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1740060201
KRYSTAL NICOLE LOPEZ
BRONX, NY
NPI
1740060201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 011046)
Enumeration Date
2023-10-03
Last Update Date
2023-10-03
Business Address
KRYSTAL NICOLE LOPEZ LMHC
529 COURTLANDT AVE
BRONX, NY 10451-5007
Phone number: 646-239-3531
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Mailing Address
KRYSTAL NICOLE LOPEZ LMHC
529 COURTLANDT AVE
BRONX, NY 10451-5007
Phone number: 646-239-3531
Copy
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