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Sergio Lopez, LAC
Counselor in Greenwood Lake, New York
NPI 1417622317

Sergio Lopez is a Counselor based in Greenwood Lake, NY. Sergio Lopez practices in Greenwood Lake, NY and has the professional credentials of LAC. The NPI Number for Sergio Lopez is 1417622317 and holds a License No. 37AC00569600 (New York).

The current practice location address for Sergio Lopez is 30 Fourth Rd, Greenwood Lake, NY and can be reached out via phone at 845-537-6908.

Location: 30 Fourth Rd, Greenwood Lake, NY, 10925-0464
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417622317
Provider Name
Sergio Lopez
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
30 Fourth Rd, Greenwood Lake, NY, 10925-0464
Phone Number
845-537-6908
Fax Number
Provider Enumeration Date
08/12/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37AC00569600 01 LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
30 Fourth Rd
City
Greenwood Lake
State
New York
Zip
10925-2510
Phone Number
845-537-6908
Fax Number
person
Provider Business Mailing Address Details
Address
30 Fourth Rd
City
Greenwood Lake
State
New York
Zip
10925-2510
Phone Number
845-537-6908
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
37AC00569600 (New Jersey)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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