person
Miguel Gonzalo Lopez IV
Professional Counselor in Fort Worth, Texas
NPI 1558721795

Miguel Gonzalo Lopez IV is a Professional Counselor based in Fort Worth, TX and is specialized in Professional. Miguel Gonzalo Lopez IV practices in Fort Worth, TX. The NPI Number for Miguel Gonzalo Lopez IV is 1558721795 and holds a License No. 80456 (Texas).

The current practice location address for Miguel Gonzalo Lopez IV is 4214 Calmont Ave, Fort Worth, TX and can be reached out via phone at 956-648-9222.

Location: 4214 Calmont Ave, Fort Worth, TX, 76107-4311
person
Provider Profile Details
NPI Number
1558721795
Provider Name
Miguel Gonzalo Lopez IV
Credential
Provider Entity Type
Individual
Gender
Male
Address
4214 Calmont Ave, Fort Worth, TX, 76107-4311
Phone Number
956-648-9222
Fax Number
Provider Enumeration Date
03/01/2016
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
4214 Calmont Ave
City
State
Zip
76107-4311
Phone Number
956-648-9222
Fax Number
person
Provider Business Mailing Address Details
Address
4214 Calmont Ave
City
State
Zip
76107-4311
Phone Number
956-648-9222
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
80456 (Texas)
Definition
Definition to come...
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