Individual
ADRIANA LETICIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11100 VALLEY BLVD STE 116, EL MONTE, CA 91731
(626) 444-0705
(626) 444-0710
Mailing address
4856 LANTE ST, BALDWIN PARK, CA 91706-1946
(626) 536-2409
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
07/05/2018
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