Keith Albert Lopez, LAC

NPI #1457610214 in Anaconda, Montana

Provider Information

NPI Number
1457610214
Entity Type
Individual
Name
Keith Albert Lopez, LAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LAC
Enumeration Date
May 14, 2012
Last Updated
May 14, 2012

Practice Location

Address
307 E PARK AVE
Address 2
SUITE 207B
State
Montana
ZIP Code
59711-2320
Phone
(406) 563-7197

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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