Jose Julian Lopez, L.S.A.A
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Velarde, NM
NPI 1790019545 · NPPES record last updated Sep 28, 2009
Key facts
- NPI
- 1790019545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 0064231 (NM)
- Practice address
- County Road 41 PVT Drive 1098
Velarde, NM 87582 - Phone
- (505) 852-2580
- Fax
- (505) 852-1827
- NPI assigned
- Sep 28, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 0064231 | NM | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0064231 | NM | Yes |
Addresses
Primary practice location
County Road 41 PVT Drive 1098
Velarde, NM 87582
Mailing address
P.O Box 520
Espanola, NM 87532
Phone (505) 852-2580
Other providers in Velarde, NM
- Sarah Carter
- Rhianna Alexandra Feeney
- Hoy Recovery Program, Inc.
- Leslie Jean McDonald
- One Heart Doula Services, LLC
- Erika M Oviedo
- Roibala L Sanchez
All providers in Velarde, NM · Addiction (Substance Use Disorder) Counselor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2009. 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.