Individual provider · Type 1 NPI

Gloria Bautista Lopez, LPC, LCDC

Mental Health Counselor · Austin, TX

NPI number 1750029773 Active

Practice location

9501 N FM 620 Rd Apt 4502
Austin, TX 78726-2906

Call (512) 944-7630 Map

Other practice locations

  • 3624 N Hills Dr Ste A201, Austin, TX 78731-3085 · (512) 944-7630

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X83770 (TX)
Addiction (Substance Use Disorder) Counselor 101YA0400X15714 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1750029773

Gloria Bautista Lopez, LPC, LCDC's National Provider Identifier is 1750029773, issued on May 20, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Austin, TX. The record was last updated on Jul 24, 2024.