Lopez, Sandra Louise

Lopez, Sandra Louise is an individual health care provider with primary practice located at 10520 Judicial Dr , Fairfax VA 22030-5115. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Lopez, Sandra Louise can be contacted via phone (703) 246-4454.

Contact Information

Primary practice address
10520 Judicial Dr Fairfax VA 22030-5115
Phone: (703) 246-4454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0718000165 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701003881 Virginia

Profile Details

NPI number 1356400469
LBN Legal business name Lopez, Sandra Louise
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 17 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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