person
Mr. Gustavo Lopez JR.
Peer Specialist in Mount Vernon, New York
NPI 1679082242

Gustavo Lopez JR. is a Peer Specialist based in Port Chester, NY. Gustavo Lopez JR. practices in Mount Vernon, NY. The NPI Number for Gustavo Lopez JR. is 1679082242 and holds a License No. (New York).

The current practice location address for Gustavo Lopez JR. is 256 Washington St, Mount Vernon, NY and can be reached out via phone at 914-613-0700 and via fax at 914-664-8189.

Location: 256 Washington St, Mount Vernon, NY, 10573-3725
person
Provider Profile Details
NPI Number
1679082242
Provider Name
Gustavo Lopez JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
256 Washington St, Mount Vernon, NY, 10573-3725
Phone Number
914-613-0700
Fax Number
914-664-8189
Provider Enumeration Date
09/26/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
256 Washington St
City
State
Zip
10553-1052
Phone Number
914-613-0700
Fax Number
914-664-8189
person
Provider Business Mailing Address Details
Address
256 Washington St
City
State
Zip
10553-1052
Phone Number
914-613-0700
Fax Number
914-664-8189
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(New York)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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