Individual
MR. CARLOS ROBERT LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-5273
(831) 454-4916
Mailing address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-5273
(831) 454-4916
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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