Crista Lopez, MA
Counselor in Fairfax, VA. Individual provider (NPI-1).
NPI number1962087684
StatusActive
Last updated in NPPESDec 3, 2021
Details
- NPI
- 1962087684
- Entity type
- Individual (NPI-1)
- Name
- Crista Lopez
- Credential
- MA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2021
- Certification date
- Dec 3, 2021
- Last updated
- Dec 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 0704013702 | VA |
Practice location
10379b Democracy LnFairfax, VA 22030-2505
Phone 703-591-2551
Mailing address
25099 Croxley Green SqAldie, VA 20105-5672
Phone 571-225-9563
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