Theresa Lopez
Theresa Lopez is a Marriage and Family Therapist in Saint Paul, Minnesota. Qualified in 2020, 6 years ago. Practices with Emily Program P C, a 50-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 6
- Licensed in
- MN
- In the registry since
- 2021
Practice location Address checks out
1449 Cleveland Ave NSaint Paul, MN 55108-1413
Phone: (651) 645-5323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 4562 (MN) |
|---|
Record details
| NPI number | 1316604291 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 26, 2021 |
| Last updated in NPPES | December 27, 2023 |
| Certification date | December 27, 2023 |
Medicare enrollment
| Medicare specialty | MARRIAGE AND FAMILY THERAPIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Emily Program P C — 50 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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