Lopez, Marlene Mercedes

Lopez, Marlene Mercedes is an sole proprietor health care provider with primary practice located at 1324 S Peden Ct , Chandler AZ 85286-7629. 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 / Professional is her primary health care specialty. Lopez, Marlene Mercedes can be contacted via phone (480) 652-4820.

Contact Information

Primary practice address
1324 S Peden Ct Chandler AZ 85286-7629
Phone: (480) 652-4820
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC10828 Arizona
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-13324 Arizona

Profile Details

NPI number 1558697615
LBN Legal business name Lopez, Marlene Mercedes
Credentials LPC-LISAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2009
Last updated Jan 20th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558697615 NPPES
Arizona MEDICAID 477673

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