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Katrina Lopez
Peer Specialist in Plattsburgh, New York
NPI 1003439001

Katrina Lopez is a Peer Specialist based in Glenville, NY. Katrina Lopez practices in Plattsburgh, NY. The NPI Number for Katrina Lopez is 1003439001 and holds a License No. 4556 (New York).

The current practice location address for Katrina Lopez is 80 Sharron Ave, Plattsburgh, NY and can be reached out via phone at 518-561-1447. You can also correspond with Katrina Lopez through the mailing address at 79 GLENRIDGE RD, GLENVILLE, NY - 12302-4523 (mailing address contact number: ).

Location: 80 Sharron Ave, Plattsburgh, NY, 12302-4523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003439001
Provider Name
Katrina Lopez
Credential
Provider Entity Type
Individual
Gender
Female
Address
80 Sharron Ave, Plattsburgh, NY, 12302-4523
Phone Number
518-561-1447
Fax Number
Provider Enumeration Date
05/26/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01420800 05 NY
institution
Provider Business Practice Location Address Details
Address
80 Sharron Ave
City
Plattsburgh
State
New York
Zip
12901-4700
Phone Number
518-561-1447
Fax Number
person
Provider Business Mailing Address Details
Address
80 Sharron Ave
City
Plattsburgh
State
New York
Zip
12901-4700
Phone Number
518-561-1447
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
4556 (New York)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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