Jorge Alberto Lopez II, Masters
Counselor, Mental Health in Coconut Grove, FL. Individual provider (NPI-1).
NPI number1164069456
StatusActive
Last updated in NPPESDec 5, 2019
Details
- NPI
- 1164069456
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jorge Alberto Lopez II
- Credential
- Masters
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 5, 2019
- Last updated
- Dec 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 18303 | FL | Yes |
Practice location
2780 Ssw 37th AveCoconut Grove, FL 33133
Phone 786-234-1980
Mailing address
14514 Sw 167th TerMiami, FL 33177-1744
Phone 786-234-1980
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