Individual
ALICIA IXCHEL LOPEZ-YGLESIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 S HARBOR BLVD STE 910, ANAHEIM, CA 92805-3721
(562) 821-1491
Mailing address
PO BOX 4, MIDWAY CITY, CA 92655-0004
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
AMFT128886
CA
106H00000X
Marriage & Family Therapist
Primary
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2020
Last updated
03/28/2024
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