person
Carlos G Lopez
Addiction (Substance Use Disorder) Counselor in Port Orchard, Washington
NPI 1083182885

Carlos G Lopez is an Addiction (Substance Use Disorder) Counselor based in Port Orchard, WA and is specialized in Addiction (Substance Use Disorder). Carlos G Lopez practices in Port Orchard, WA. The NPI Number for Carlos G Lopez is 1083182885 and holds a License No. CO60613823 (Washington).

The current practice location address for Carlos G Lopez is 1415 Lumsden Rd, Port Orchard, WA and can be reached out via phone at 360-881-7878 and via fax at 360-876-0713.

Location: 1415 Lumsden Rd, Port Orchard, WA, 98367-9179
person
Provider Profile Details
NPI Number
1083182885
Provider Name
Carlos G Lopez
Credential
Provider Entity Type
Individual
Gender
Male
Address
1415 Lumsden Rd, Port Orchard, WA, 98367-9179
Phone Number
360-881-7878
Fax Number
360-876-0713
Provider Enumeration Date
11/09/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CO60613823 01 WA WASHINGTON STATE DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
1415 Lumsden Rd
City
State
Zip
98367-9179
Phone Number
360-881-7878
Fax Number
360-876-0713
person
Provider Business Mailing Address Details
Address
1415 Lumsden Rd
City
State
Zip
98367-9179
Phone Number
360-881-7878
Fax Number
360-876-0713
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CO60613823 (Washington)
Definition
Definition to come...
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