Individual
ADRIANNE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 W BADILLO ST, COVINA, CA 91722-3762
(626) 993-3000
Mailing address
530 W BADILLO ST, COVINA, CA 91722-3762
(626) 993-3000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
90166
CA
1041C0700X
Clinical Social Worker
Primary
124196
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-2633765
MEDI-CAL
CA
Enumeration date
11/07/2013
Last updated
02/24/2025
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