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Khadijah G Lopez, LMSW
Mental Health Counselor in New York, New York
NPI 1275259285

Khadijah G Lopez is a Mental Health Counselor based in New York, NY and is specialized in Mental Health. Khadijah G Lopez practices in New York, NY and has the professional credentials of LMSW. The NPI Number for Khadijah G Lopez is 1275259285 and holds a License No. 111633 (New York).

The current practice location address for Khadijah G Lopez is 302 W 91St St Apt 2, New York, NY and can be reached out via phone at 212-787-7120 and via fax at 212-580-0533.

Location: 302 W 91St St Apt 2, New York, NY, 10024-1011
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Provider Profile Details
NPI Number
1275259285
Provider Name
Khadijah G Lopez
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
302 W 91St St Apt 2, New York, NY, 10024-1011
Phone Number
212-787-7120
Fax Number
212-580-0533
Provider Enumeration Date
10/12/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
111633 01 NY LMSW LICENSE
institution
Provider Business Practice Location Address Details
Address
302 W 91St St Apt 2
City
State
Zip
10024-1011
Phone Number
212-787-7120
Fax Number
212-580-0533
person
Provider Business Mailing Address Details
Address
302 W 91St St Apt 2
City
State
Zip
10024-1011
Phone Number
212-787-7120
Fax Number
212-580-0533
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
111633 (New York)
Definition
Definition to come...
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