Lopez, Charmaine Dianna

Lopez, Charmaine Dianna is an sole proprietor health care provider with primary practice located at 2741 Indian School Rd Ne , Albuquerque NM 87106-2653. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Mental Health. Agencies / Community/Behavioral Health is her primary health care specialty. Lopez, Charmaine Dianna can be contacted via phone (505) 750-8866.

Contact Information

Primary practice address
2741 Indian School Rd Ne Albuquerque NM 87106-2653
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0166601 New Mexico

Profile Details

NPI number 1689820656
LBN Legal business name Lopez, Charmaine Dianna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2008
Last updated Nov 4th, 2014 - about 12 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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