MR. GABRIEL MANUEL LOPEZ JR. LMSW
NPI 1265080196
Counselor - Mental Health in Tucson, AZ
Active since September 04, 2019
About Mr. Gabriel Manuel Lopez Jr. Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. GABRIEL MANUEL LOPEZ JR. LMSW (NPI 1265080196) is an individual mental health provider in Tucson, Arizona, licensed in Arizona (LMSW-17543) and active in the NPI registry since September 2019.
NPPES Registry Identity
NPI1265080196
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. GABRIEL MANUEL LOPEZ JR.Credential: LMSW
Location Address4560 E BROADWAY BLVD STE 223Tucson, AZ 85711-3558
Mailing Address4560 E Broadway Blvd Ste 223Tucson, AZ 85711-3558 · (502) 850-1114
Phone(520) 850-1114
Sole ProprietorYes
Enumeration DateSeptember 4, 2019
✔ NPI 1265080196 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AZ · LMSW-17543
4560 E BROADWAY BLVD STE 223, Tucson, AZ 85711
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Social Worker (Clinical)
4560 E BROADWAY BLVD STE 223
TUCSON, AZ 85711
TUCSON, AZ 85711
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265080196, enumerated as an "individual" on September 04, 2019.
The provider is located at 4560 E BROADWAY BLVD STE 223 TUCSON, AZ 85711 and the phone number is (520) 850-1114.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
