Doctor Name: | CARLOS LOUIS LOPEZ |
NPI Number: | 1407864838 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | PC003155 |
Business Practice Address: | 112 N Saint Marys St Beeville, TX - 781024605 |
Business Phone Number: | 3613588191 |
Business Fax Number: | 3613585790 |
Mailing Address: | P.o. Box 958, BEEVILLE |
State: | TX |
Postal Code: | 781040958 |
Phone Number: | 3613588191 |
Fax Number: | 3613585790 |
NPI Enumeration Date: | 08/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC003155 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |