Marissa Ariana Lopez
NPI #1093422453 in Homer Glen, Illinois
Provider Information
- NPI Number
- 1093422453
- Entity Type
- Individual
- Name
- Marissa Ariana Lopez
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Nov 3, 2022
- Last Updated
- Nov 3, 2022
Practice Location
- Address
- 14933 FOUNDERS XING
- City
- Homer Glen
- State
- Illinois
- ZIP Code
- 60491-6712
- Phone
- (773) 895-0433
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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