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Individual
JESSICA ANN BEHILL LOPEZ
Active
Individual
JESSICA ANN BEHILL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R1451951221
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1451951221
CA
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R1451951221
—
CA
Enumeration date
12/30/2021
Last updated
11/09/2023
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