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Individual
EMMA REYES LOPEZ
Active
Individual
EMMA REYES LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
1041C0700X
Clinical Social Worker
Primary
102431
CA
1041C0700X
Clinical Social Worker
Primary
131362
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-2633765
MEDI-CAL
CA
Enumeration date
11/10/2017
Last updated
09/02/2026
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