CAROLYN M LOPEZ BA NPI 1366757106

NPI Information

NPI: 1366757106
Provider Name: CAROLYN M LOPEZ, BA
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
3830 S CUSHMAN ST
FAIRBANKS, AK
ZIP 99701
Phone: (907) 452-1575
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Carolyn M Lopez, BA is a counselor in Fairbanks, AK. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Carolyn M Lopez, BA NPI is 1366757106. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3830 S CUSHMAN ST
FAIRBANKS, AK
ZIP 99701-530
Phone: (907) 452-1575
Fax: (907) 455-5287

The enumeration date for this NPI number is 8/17/2010 and was last updated on 8/17/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MH0157	MEDICAID	ALASKA
2	K0000WCHCP	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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