Individual
AMANDA LAUREN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 W GUTIERREZ ST, SANTA BARBARA, CA 93101-3424
(805) 965-1001
Mailing address
519 5TH ST, CLOVIS, CA 93612-1106
(559) 270-6595
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
CA
Other
Enumeration date
09/09/2017
Last updated
09/09/2017
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