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Jacqueline Lopez
Mental Health Counselor in Tampa, Florida
NPI 1588963276

Jacqueline Lopez is a Mental Health Counselor based in Tampa, FL and is specialized in Mental Health. Jacqueline Lopez practices in Tampa, FL. The NPI Number for Jacqueline Lopez is 1588963276 and holds a License No. (Florida).

The current practice location address for Jacqueline Lopez is 11428 N 53Rd St, Tampa, FL and can be reached out via phone at 813-374-9416.

Location: 11428 N 53Rd St, Tampa, FL, 33617-2216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588963276
Provider Name
Jacqueline Lopez
Credential
Provider Entity Type
Individual
Gender
Female
Address
11428 N 53Rd St, Tampa, FL, 33617-2216
Phone Number
813-374-9416
Fax Number
Provider Enumeration Date
03/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11428 N 53Rd St
City
Tampa
State
Florida
Zip
33617-2216
Phone Number
813-374-9416
Fax Number
person
Provider Business Mailing Address Details
Address
11428 N 53Rd St
City
Tampa
State
Florida
Zip
33617-2216
Phone Number
813-374-9416
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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