| Carlos G Lopez, | |
|
1415 Lumsden Rd, Port Orchard, WA 98367-9179 | |
| (360) 881-7878 | |
| (360) 876-0713 |
| Full Name | Carlos G Lopez |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1415 Lumsden Rd, Port Orchard, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083182885 | NPI | - | NPPES |
| CO60613823 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CO60613823 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos G Lopez, 1415 Lumsden Rd, Port Orchard, WA 98367-9179 Ph: (360) 881-7878 | Carlos G Lopez, 1415 Lumsden Rd, Port Orchard, WA 98367-9179 Ph: (360) 881-7878 |
Peter Elliot Thomas, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5319 Bethel Rd Se, Port Orchard, WA 98367 Phone: 206-504-3203 | |
Mrs. Carol Mae Brigham, SUDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 614 Division St # Ms -19, Port Orchard, WA 98366 Phone: 360-337-4625 Fax: 360-337-4704 | |
Miss Cassidy Rose Smith, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 661 Taylor St, Port Orchard, WA 98366 Phone: 360-337-4625 | |
Katrina Kane, SUDP/T Counselor Medicare: Not Enrolled in Medicare Practice Location: 661 Taylor St, Port Orchard, WA 98366 Phone: 360-337-4625 | |
Scott Dalgleish, Counselor Medicare: Not Enrolled in Medicare Practice Location: 614 Division St, Port Orchard, WA 98366 Phone: 360-337-4625 | |
Destanie Tanay Garrett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 661 Taylor St, Port Orchard, WA 98366 Phone: 360-337-4625 |