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Faviola Lopez
Mental Health Counselor in Mount Vernon, Washington
NPI 1942211685

Faviola Lopez is a Mental Health Counselor based in Burlington, WA and is specialized in Mental Health. Faviola Lopez practices in Mount Vernon, WA. The NPI Number for Faviola Lopez is 1942211685 and holds a License No. RC00055169 (Washington).

The current practice location address for Faviola Lopez is 1100 S 2Nd St, Mount Vernon, WA and can be reached out via phone at 360-419-3559.

Location: 1100 S 2Nd St, Mount Vernon, WA, 98233-2020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942211685
Provider Name
Faviola Lopez
Credential
Provider Entity Type
Individual
Gender
Female
Address
1100 S 2Nd St, Mount Vernon, WA, 98233-2020
Phone Number
360-419-3559
Fax Number
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1100 S 2Nd St
City
Mount Vernon
State
Washington
Zip
98273-4209
Phone Number
360-419-3559
Fax Number
person
Provider Business Mailing Address Details
Address
1100 S 2Nd St
City
Mount Vernon
State
Washington
Zip
98273-4209
Phone Number
360-419-3559
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
RC00055169 (Washington)
Definition
Definition to come...
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