Individual provider · Type 1 NPI

Jorge Antonio Lopez, LMHC

Mental Health Counselor · Leesburg, FL

NPI number 1386076594 Active

Practice location

2018 Tally Rd
Leesburg, FL 34748

Call (352) 315-7400 Map

Fax (352) 360-6656

Mailing address

PO Box 491000
Leesburg, FL 34749-1000

Other practice locations

  • 2018 Tally Rd, Leesburg, FL 34748 · (352) 315-7400

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH16456 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1386076594

Jorge Antonio Lopez, LMHC's National Provider Identifier is 1386076594, issued on Jul 30, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Leesburg, FL. The record was last updated on Nov 26, 2018.