GIOVAN EDNUELLE GABRIEL LOPEZ BA NPI 1992277602

NPI Information

Giovan Ednuelle Gabriel Lopez, BA is a counselor in Pittsfield, MA. 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. Giovan Ednuelle Gabriel Lopez, BA NPI is 1992277602. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

877 SOUTH ST
PITTSFIELD, MA
ZIP 01201-242
Phone: (413) 236-5656

The enumeration date for this NPI number is 12/19/2018 and was last updated on 12/19/2018.

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:

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