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NPI Code Detail

MEDICARE: KARLA JULIETA LOPEZ

MEDICARE: KARLA JULIETA LOPEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker13239-MNV

General Provider Information

NPI Number : 1699647677
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLA JULIETA LOPEZ
Provider Business Mailing Address
First Line : 6402 MCLEOD DR STE 5
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-4406
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3680 N RANCHO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-3180
Country : US
Telephone Number : 702-646-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2025
Last Update Date : 06/16/2026

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Directions to “ KARLA JULIETA LOPEZ ” Practice Location

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