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Mr. Christian Josue Lopez, 175T00000X
Peer Specialist in Kenmore, New York
NPI 1316509284

Christian Josue Lopez is a Peer Specialist based in Kenmore, NY. Christian Josue Lopez practices in Kenmore, NY and has the professional credentials of 175T00000X. The NPI Number for Christian Josue Lopez is 1316509284 and holds a License No. 175T00000X (New York).

The current practice location address for Christian Josue Lopez is 262 Woodward Ave, Kenmore, NY and can be reached out via phone at 716-566-7771.

Location: 262 Woodward Ave, Kenmore, NY, 14217-1539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316509284
Provider Name
Christian Josue Lopez
Credential
175T00000X
Provider Entity Type
Individual
Gender
Male
Address
262 Woodward Ave, Kenmore, NY, 14217-1539
Phone Number
716-566-7771
Fax Number
Provider Enumeration Date
07/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
262 Woodward Ave
City
Kenmore
State
New York
Zip
14217-1539
Phone Number
716-566-7771
Fax Number
person
Provider Business Mailing Address Details
Address
262 Woodward Ave
City
Kenmore
State
New York
Zip
14217-1539
Phone Number
716-566-7771
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
175T00000X (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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