Micah M Lopez
Counselor in Everett, WA. Individual provider (NPI-1).
NPI number1003603341
StatusActive
Last updated in NPPESApr 21, 2025
Details
- NPI
- 1003603341
- Entity type
- Individual (NPI-1)
- Name
- Micah M Lopez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2025
- Certification date
- Apr 21, 2025
- Last updated
- Apr 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
2802 BroadwayEverett, WA 98201-3642
Phone 425-259-3191
Mailing address
Po Box 839Everett, WA 98206-0839
Phone 425-259-3191
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