Christopher Lopez, LPC | |
2204 S Dobson Rd Ste 102, Mesa, AZ 85202-6457 | |
(602) 230-7373 | |
(480) 628-8577 |
Full Name | Christopher Lopez |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 2204 S Dobson Rd Ste 102, Mesa, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841936127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | LAC-18980 (Arizona) | Secondary |
101Y00000X | Counselor | LPC-21358 (Arizona) | Secondary |
101YP2500X | Counselor - Professional | LPC-21358 (Arizona) | Primary |
Entity Name | Denova Collaborative Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609300854 PECOS PAC ID: 2466437736 Enrollment ID: O20040621001542 |
Mailing Address | Practice Location Address |
---|---|
Christopher Lopez, LPC 3101 N Central Ave Ste 550, Phoenix, AZ 85012-2635 Ph: (602) 230-7373 | Christopher Lopez, LPC 2204 S Dobson Rd Ste 102, Mesa, AZ 85202-6457 Ph: (602) 230-7373 |
Megan Feeney, MAFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4250 N. Florian Ave Bldg 1, Mesa, AZ 85206 Phone: 480-969-3800 Fax: 480-644-1557 | |
Elbert Farmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 32 S Macdonald, Mesa, AZ 85210 Phone: 480-696-1471 Fax: 480-264-0687 | |
Dr. Ronald Earl Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3846 E Dartmouth St, Mesa, AZ 85205 Phone: 480-229-1722 | |
Dr. Lisa Loree Gold, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6106 E Brown Rd, Suite #102, Mesa, AZ 85205 Phone: 602-550-9393 | |
Mrs. Tracy Kerr Carson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1830 S Alma School Rd, Suite 112, Mesa, AZ 85210 Phone: 480-730-6222 | |
Roban Kubic, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1845 S Dobson Rd, Suite 104, Mesa, AZ 85202 Phone: 480-403-1651 Fax: 480-874-3767 | |
Eric Felber, M.A., LPC Counselor Medicare: Medicare Enrolled Practice Location: 2204 S Dobson Rd Ste 102, Mesa, AZ 85202 Phone: 602-230-7373 Fax: 480-628-8577 |