person
Mr. Jorge Antonio Lopez, LMHC
Mental Health Counselor in Leesburg, Florida
NPI 1386076594

Jorge Antonio Lopez is a Mental Health Counselor based in Leesburg, FL and is specialized in Mental Health. Jorge Antonio Lopez practices in Leesburg, FL and has the professional credentials of LMHC. The NPI Number for Jorge Antonio Lopez is 1386076594 and holds a License No. MH16456 (Florida).

The current practice location address for Jorge Antonio Lopez is 2018 Tally Rd, Leesburg, FL and can be reached out via phone at 352-315-7400 and via fax at 352-360-6656.

Location: 2018 Tally Rd, Leesburg, FL, 34749-1000
person
Provider Profile Details
NPI Number
1386076594
Provider Name
Jorge Antonio Lopez
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
2018 Tally Rd, Leesburg, FL, 34749-1000
Phone Number
352-315-7400
Fax Number
352-360-6656
Provider Enumeration Date
07/30/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2018 Tally Rd
City
State
Zip
34748
Phone Number
352-315-7400
Fax Number
352-360-6656
person
Provider Business Mailing Address Details
Address
2018 Tally Rd
City
State
Zip
34748
Phone Number
352-315-7400
Fax Number
352-360-6656
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH16456 (Florida)
Definition
Definition to come...
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