Individual provider · Type 1 NPI

Priscilla C. Lopez, MASTER CASAC #34980

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1366080087 Active

Practice location

3584 Jerome Ave
Bronx, NY 10467-1006

Fax (699) 371-8228

Mailing address

131 Saint Nicholas Ave Apt 2D
New York, NY 10026-2147

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X211110743 (NY)

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

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About NPI 1366080087

Priscilla C. Lopez, MASTER CASAC #34980's National Provider Identifier is 1366080087, issued on Dec 12, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on May 16, 2024.