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Crystal Angelica Lopez

Rehabilitation Counselor in Saint Cloud, FL. Individual provider (NPI-1).

NPI number1750842001
StatusActive
Last updated in NPPESMar 28, 2019

Details

NPI
1750842001
Entity type
Individual (NPI-1)
Name
Mrs. Crystal Angelica Lopez
Sex
Female
Sole proprietor
No
Enumeration date
Mar 28, 2019
Last updated
Mar 28, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225C00000X Rehabilitation Counselor––Yes

Practice location

501 Pacito Way
Saint Cloud, FL 34769-7088

Phone 407-404-2684

Mailing address

501 Pacito Way
Saint Cloud, FL 34769-7088

Phone 407-404-2684

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