Individual provider · Type 1 NPI

Gustavo Lopez Jr.

Peer Specialist · Mount Vernon, NY

NPI number 1679082242 Active

Practice location

256 Washington St
Mount Vernon, NY 10553-1052

Call (914) 613-0700 Map

Fax (914) 664-8189

Mailing address

330 Center Ave
Mamaroneck, NY 10543-2303

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1679082242

Gustavo Lopez Jr.'s National Provider Identifier is 1679082242, issued on Sep 26, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Mount Vernon, NY. The record was last updated on Mar 7, 2025.