National Provider Identifier

Michele Lopez, CASAC

Michele Lopez, CASAC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Lyons, NY and a listed phone number of (315) 946-5722.

NPI 1245826064Lyons, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1245826064
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
December 16, 2020
Last Updated
December 16, 2020

Practice Location

  • 1519 Nye RD
  • Lyons, NY 14489-9133

Phone: (315) 946-5722

Mailing Address

  • 10464 Slaght RD
  • Wolcott, NY 14590-9341

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)

Endpoints

  • lyons

    Connect Url | Health Information Exchange (Hie) | Csv | Lyons, NY 14489

    Work

Full Record
NPI
1245826064
Entity Type
Individual
Last Name
Lopez
First Name
Michele
Name Prefix
MS.
Credential
CASAC
Mailing Street Address
10464 Slaght RD
Mailing City
Wolcott
Mailing State
NY
Mailing ZIP Code
14590-9341
Mailing Country
US
Mailing Phone
(315) 882-0450
Practice Street Address
1519 Nye RD
Practice City
Lyons
Practice State
NY
Practice ZIP Code
14489-9133
Practice Country
US
Practice Phone
(315) 946-5722
Enumeration Date
December 16, 2020
Last Updated
December 16, 2020
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193200000X Multi-Specialty Group
Certification Date
December 16, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)