IndividualActive
Amanda Lopez-Martinez
NPI 1629774583 · Marriage & Family Therapist · Chicago, IL
Provider details
- NPI number
- 1629774583
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 166.012208 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1446 N Kedzie Ave Fl 1
Chicago, IL 60651-2423
Phone: (312) 487-2158
Approximate (ZIP-level) locationGet directions
Mailing address
1446 N Kedzie Ave Fl 1
Chicago, IL 60651-2423
Registry dates
- Enumerated
- 2023-02-02
- Last updated
- 2026-04-30
- Certified
- 2026-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.