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Individual

IVANA SOPHIA LOPEZTIANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
149 PASADENA AVE, SOUTH PASADENA, CA 91030-2947
(323) 543-2800
(323) 978-1263
Mailing address
940 AVENUE 64, PASADENA, CA 91105-2711
(323) 543-2800
(323) 978-1263

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC12115
CA

Other

Enumeration date
08/28/2018
Last updated
10/02/2023
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