NPI 1467227223

Carlos Ivan Lopez, MACRCCADCLPC

Practitioner Rehabilitation Counselor Chicago, IL

Practice location

Address: 820 S Damen Ave, Chicago, IL 60612-3728
Phone: (312) 569-8387

Registered specialties (3)

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X Licence 397297 (IL)

Other Rehabilitation Counselor providers in Illinois →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 17591 (IL)

Other Counselor providers in Illinois →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 178.018669 (IL)

Registry record

NPI: 1467227223
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Nov 2023
Record last updated: 28 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.