Individual
RACQUEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC, MS
Contact information
Practice address
605 STANDIFORD AVE STE L, MODESTO, CA 95350-1000
(209) 996-0042
Mailing address
831 ANNABELLE AVE, MODESTO, CA 95350-6024
(209) 996-0042
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15479
CA
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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