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Jessica D Lopez, LMHC
Mental Health Counselor in Tampa, Florida
NPI 1629245626

Jessica D Lopez is a Mental Health Counselor based in Tampa, FL and is specialized in Mental Health. Jessica D Lopez practices in Tampa, FL and has the professional credentials of LMHC. The NPI Number for Jessica D Lopez is 1629245626 and holds a License No. MH13095 (Florida).

The current practice location address for Jessica D Lopez is 4107 W Spruce St Ste 100, Tampa, FL and can be reached out via phone at 813-636-8811 and via fax at 813-636-8855.

Location: 4107 W Spruce St Ste 100, Tampa, FL, 33607-2346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629245626
Provider Name
Jessica D Lopez
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
4107 W Spruce St Ste 100, Tampa, FL, 33607-2346
Phone Number
813-636-8811
Fax Number
813-636-8855
Provider Enumeration Date
05/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
015592400 05 FL
institution
Provider Business Practice Location Address Details
Address
4107 W Spruce St Ste 100
City
Tampa
State
Florida
Zip
33607-2346
Phone Number
813-636-8811
Fax Number
813-636-8855
person
Provider Business Mailing Address Details
Address
4107 W Spruce St Ste 100
City
Tampa
State
Florida
Zip
33607-2346
Phone Number
813-636-8811
Fax Number
813-636-8855
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH13095 (Florida)
Definition
Definition to come...
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