Henry Lopez is a Peer Specialist based in San Cristobal, NM. Henry Lopez practices in Taos, NM. The NPI Number for Henry Lopez is 1962120840 and holds a License No. (New Mexico).
The current practice location address for Henry Lopez is 105 Bertha Rd Ste B, Taos, NM and can be reached out via phone at 575-758-4297.
Location: 105 Bertha Rd Ste B, Taos, NM, 87564
Provider Profile Details
NPI Number
1962120840
Provider Name
Henry Lopez
Credential
Provider Entity Type
Individual
Gender
Male
Address
105 Bertha Rd Ste B, Taos, NM, 87564
Phone Number
575-758-4297
Fax Number
Provider Enumeration Date
08/17/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
105 Bertha Rd Ste B
City
State
Zip
87571-7148
Phone Number
575-758-4297
Fax Number
Provider Business Mailing Address Details
Address
105 Bertha Rd Ste B
City
State
Zip
87571-7148
Phone Number
575-758-4297
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
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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