Lopez, Leticia G

Lopez, Leticia G is an sole proprietor health care provider with primary practice located at 915 Mazatlan St , Mission TX 78572-7841. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Lopez, Leticia G can be contacted via phone (956) 638-0026.

Contact Information

Primary practice address
915 Mazatlan St Mission TX 78572-7841
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 18182 Texas

Profile Details

NPI number 1962464305
LBN Legal business name Lopez, Leticia G
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Sep 20th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962464305 NPPES
Texas MEDICAID 1803280-01

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