Individual provider · Type 1 NPI

Marissa Ariana Lopez

Professional Counselor · Homer Glen, IL

NPI number 1093422453 Active

Practice location

14933 Founders Xing
Homer Glen, IL 60491-6712

Call (773) 895-0433 Map

Mailing address

5820 S Massasoit Ave
Chicago, IL 60638-3728

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178018222 (IL)

Professional Counselor: Definition to come...

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About NPI 1093422453

Marissa Ariana Lopez's National Provider Identifier is 1093422453, issued on Nov 3, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Homer Glen, IL. The record was last updated on Nov 3, 2022.