Individual
STEPHANIE KAY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCH TECH
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 300-8800
(209) 300-8898
Mailing address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 300-8800
(209) 300-8898
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42480
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/26/2014
Last updated
06/02/2025
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