Individual
CYNTHIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1180 BROADWAY ST, KING CITY, CA 93930-3602
(831) 386-9340
Mailing address
1180 BROADWAY ST, KING CITY, CA 93930-3602
(831) 386-9340
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
86522
CA
104100000X
Social Worker
Primary
86522
CA
Other
Enumeration date
11/13/2018
Last updated
03/19/2019
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