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Organization

ML WELLNESS & FAMILY COUNSELING, INC

Active
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Organization

ML WELLNESS & FAMILY COUNSELING, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MIGUEL EZEQUIEL LOPEZ LMFT (CEO)
(209) 412-3425
Entity
Organization

Contact information

Practice address
4125 GAGOS DR, MODESTO, CA 95356-9411
(209) 412-3425
Mailing address
PO BOX 577924, MODESTO, CA 95357-7924
(209) 412-3425

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—

Other

Enumeration date
09/04/2025
Last updated
09/04/2025
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