Individual provider · Type 1 NPI

Jesse Lopez

Addiction (Substance Use Disorder) Counselor · St. Louis, MO

NPI number 1134844103 Active

Practice location

1 Jefferson Barracks Rd
St. Louis, MO 63125-4181

Call (314) 894-6598 Map

Mailing address

123 Shadowbrooke
Troy, IL 62294-3625

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1134844103

Jesse Lopez's National Provider Identifier is 1134844103, issued on Oct 11, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Louis, MO. The record was last updated on Oct 11, 2022.