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NPI Code Detail

MEDICARE: HENRY MICHAEL LOPEZ LPC

MEDICARE:   HENRY MICHAEL LOPEZ  LPC
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
1101YP2500XProfessional Counselor64623TX

General Provider Information

NPI Number : 1922454073
Entity Type Code : Individual
Provider Name (Legal Business Name) : HENRY MICHAEL LOPEZ LPC
Provider Business Mailing Address
First Line : 363 E HUISACHE AVE
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78212-3005
Country : US
Telephone Number : 210-379-7066
Fax Number :
Provider Business Practice Location Address
First Line : 116 GALLERY CIR STE 201
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-3341
Country : US
Telephone Number : 210-802-4695
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2016
Last Update Date : 05/09/2016

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Directions to “ HENRY MICHAEL LOPEZ LPC” Practice Location

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