Most Relevant Information
Provider Data
| NPI Number: | 1003439001 |
| Provider Name: | KATRINA LOPEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 4556 |
Most Important Dates
| Enumeration Date: | 05/26/2020 |
| Last Updated: | 07/24/2024 |
Provider Practice Location
80 SHARRON AVE
PLATTSBURGH
NY
129014700
Practice Location Phone/Fax
| Phone: | 5185611447 |
| Fax: |
Provider Mailing Location
11 STATION ST
ALTONA
NY
129102028
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |