Individual provider · Type 1 NPI

Stacy Lopez, ADC, MSP

Addiction (Substance Use Disorder) Counselor · Caldwell, ID

NPI number 1467298430 Active

Practice location

709 Dearborn St
Caldwell, ID 83605-4116

Call (208) 376-7083 Map

Fax (208) 402-5604

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11909 (ID)

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

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About NPI 1467298430

Stacy Lopez, ADC, MSP's National Provider Identifier is 1467298430, issued on Jul 8, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Caldwell, ID. The record was last updated on Jul 8, 2024.