Individual
JENNIFER LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24422 AVENIDA DE LA CARLOTA STE 190, LAGUNA HILLS, CA 92653-3634
(800) 801-9833
Mailing address
24422 AVENIDA DE LA CARLOTA STE 190, LAGUNA HILLS, CA 92653-3634
(800) 801-9833
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
19005
CA
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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