Individual
GLADYS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 N K ST, TULARE, CA 93274-4005
(559) 687-0929
Mailing address
201 N K ST, TULARE, CA 93274-4005
(559) 687-0929
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC7803
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083023030
—
CA
Enumeration date
08/04/2014
Last updated
04/25/2025
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