Provider Demographics
NPI:1699977363
Name:LOPES, JOHN G (MS)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:G
Last Name:LOPES
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1402 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02723-1719
Mailing Address - Country:US
Mailing Address - Phone:508-679-0962
Mailing Address - Fax:508-676-5592
Practice Address - Street 1:1402 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02723-1719
Practice Address - Country:US
Practice Address - Phone:508-679-0962
Practice Address - Fax:508-676-5592
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)