Individual
AMY DARLEEN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDRC III
Contact information
Practice address
44447 10TH ST W BLDG D, LANCASTER, CA 93534-3324
(661) 726-2630
Mailing address
3609 FAIRFIELD AVE, PALMDALE, CA 93550-8411
(323) 439-0758
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1418670124
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SUDRCIII25178
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SUDRCLLL25178
CA
Other
Enumeration date
07/12/2024
Last updated
03/26/2026
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