Provider Demographics
NPI:1538309976
Name:LOPEZ, JULIE STROYEK (LPCC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:STROYEK
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220-5218
Mailing Address - Country:US
Mailing Address - Phone:575-885-3082
Mailing Address - Fax:575-885-5331
Practice Address - Street 1:800 W PIERCE ST
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-5218
Practice Address - Country:US
Practice Address - Phone:575-885-3082
Practice Address - Fax:575-885-5331
Is Sole Proprietor?:No
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM08901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical