Individual provider · Type 1 NPI

Ivan Lopez

Addiction (Substance Use Disorder) Counselor · Medford, OR

NPI number 1700655123 Active

Practice location

300 W Main St
Medford, OR 97501-2756

Call (541) 816-1218 Map

Fax (541) 734-2410

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1700655123

Ivan Lopez's National Provider Identifier is 1700655123, issued on Dec 27, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Medford, OR. The record was last updated on Jun 4, 2024.