Provider Demographics
NPI:1730703489
Name:LOPEZ, YERNEIKA (LPC)
Entity type:Individual
Prefix:
First Name:YERNEIKA
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9709 KEY WEST AVE APT 453
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-4526
Mailing Address - Country:US
Mailing Address - Phone:347-624-2077
Mailing Address - Fax:
Practice Address - Street 1:1818 H ST NW STE MC-C2140
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20433-1904
Practice Address - Country:US
Practice Address - Phone:202-842-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-28
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLGPC00576101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor