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Individual
DOREEN LYNN LOPES
Active
Individual
DOREEN LYNN LOPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDD I
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11456
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
P0806061611
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P0806061611
RAS
CA
Enumeration date
09/12/2012
Last updated
07/26/2023
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