person
Jack Lopez, CADCII
Addiction (Substance Use Disorder) Counselor in Bend, Oregon
NPI 1750858858

Jack Lopez is an Addiction (Substance Use Disorder) Counselor based in Bend, OR and is specialized in Addiction (Substance Use Disorder). Jack Lopez practices in Bend, OR and has the professional credentials of CADCII. The NPI Number for Jack Lopez is 1750858858 and holds a License No. 16-10-11 (Oregon).

The current practice location address for Jack Lopez is 155 Ne Revere Ave Ste 150, Bend, OR and can be reached out via phone at 541-617-4544 and via fax at 541-749-2126.

Location: 155 Ne Revere Ave Ste 150, Bend, OR, 97701-4147
person
Provider Profile Details
NPI Number
1750858858
Provider Name
Jack Lopez
Credential
CADCII
Provider Entity Type
Individual
Gender
Male
Address
155 Ne Revere Ave Ste 150, Bend, OR, 97701-4147
Phone Number
541-617-4544
Fax Number
541-749-2126
Provider Enumeration Date
10/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
155 Ne Revere Ave Ste 150
City
State
Zip
97701-4147
Phone Number
541-617-4544
Fax Number
541-749-2126
person
Provider Business Mailing Address Details
Address
155 Ne Revere Ave Ste 150
City
State
Zip
97701-4147
Phone Number
541-617-4544
Fax Number
541-749-2126
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
16-10-11 (Oregon)
Definition
Definition to come...
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