person
Irene Bautista Lopez, MS,APC,NCC
Mental Health Counselor in Lawrenceville, Georgia
NPI 1164021135

Irene Bautista Lopez is a Mental Health Counselor based in Norcross, GA and is specialized in Mental Health. Irene Bautista Lopez practices in Lawrenceville, GA and has the professional credentials of MS,APC,NCC. The NPI Number for Irene Bautista Lopez is 1164021135 and holds a License No. APC007617 (Georgia).

The current practice location address for Irene Bautista Lopez is 175 Gwinnett Dr, Lawrenceville, GA and can be reached out via phone at 678-209-2394.

Location: 175 Gwinnett Dr, Lawrenceville, GA, 30071-3565
person
Provider Profile Details
NPI Number
1164021135
Provider Name
Irene Bautista Lopez
Credential
MS,APC,NCC
Provider Entity Type
Individual
Gender
Female
Address
175 Gwinnett Dr, Lawrenceville, GA, 30071-3565
Phone Number
678-209-2394
Fax Number
Provider Enumeration Date
10/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
175 Gwinnett Dr
City
State
Zip
30046-8444
Phone Number
678-209-2394
Fax Number
person
Provider Business Mailing Address Details
Address
175 Gwinnett Dr
City
State
Zip
30046-8444
Phone Number
678-209-2394
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
APC007617 (Georgia)
Definition
Definition to come...
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