Ronny Frederick Lopez Jr., CSAC, ICADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Honolulu, HI
NPI 1467739474 · NPPES record last updated Nov 4, 2011
Key facts
- NPI
- 1467739474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1492-09 (HI)
- Practice address
- 1017C Pawaa LN
Honolulu, HI 96826-2185 - Phone
- (808) 941-5869
- Fax
- (808) 941-2987
- NPI assigned
- Nov 4, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1492-09 | HI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honolulu Family Therapy Centre Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1492-09 | HI | Yes |
Addresses
Primary practice location
1017C Pawaa LN
Honolulu, HI 96826-2185
Mailing address
1017C Pawaa LN
Honolulu, HI 96826-2185
Phone (808) 941-5869
Other providers in Honolulu, HI
- Jennifer Ann Lopez
- Kristi T Lopez
- Maria Guadalupe Lopez
- Mark Lloyd Barangay Lopez
- Richard Luis Lopez
- Venecia Aidee Lopez
- Lorene M Anastasi MD Inc
- Cedric San Felipe Lorenzo
- Gladys Hope Lorenzo
- Pia Marie Lorenzo
All providers in Honolulu, HI · Addiction (Substance Use Disorder) Counselor in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.