Individual provider · Type 1 NPI

Mary Lopez, M.A.

Mental Health Counselor · Portland, OR

NPI number 1447664362 Active

Practice location

4212 SE Division St, Suite 100
Portland, OR 97206-1628

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1447664362

Mary Lopez, M.A.'s National Provider Identifier is 1447664362, issued on Jun 18, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Nov 17, 2014.