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Mr. Miguel Lopez, LAC
Addiction (Substance Use Disorder) Counselor in Fountain, Colorado
NPI 1841762622

Miguel Lopez is an Addiction (Substance Use Disorder) Counselor based in Colorado Springs, CO and is specialized in Addiction (Substance Use Disorder). Miguel Lopez practices in Fountain, CO and has the professional credentials of LAC. The NPI Number for Miguel Lopez is 1841762622 and holds a License No. (Colorado).

The current practice location address for Miguel Lopez is 350 Lyckman Pl, Fountain, CO and can be reached out via phone at 719-572-6100.

Location: 350 Lyckman Pl, Fountain, CO, 80910-2522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841762622
Provider Name
Miguel Lopez
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
350 Lyckman Pl, Fountain, CO, 80910-2522
Phone Number
719-572-6100
Fax Number
Provider Enumeration Date
12/18/2018
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
05079245 05 CO
institution
Provider Business Practice Location Address Details
Address
350 Lyckman Pl
City
Fountain
State
Colorado
Zip
80817-2861
Phone Number
719-572-6100
Fax Number
person
Provider Business Mailing Address Details
Address
350 Lyckman Pl
City
Fountain
State
Colorado
Zip
80817-2861
Phone Number
719-572-6100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
ACD.0001680 (Colorado)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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