Individual
CAROLINA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 COMMUNITY PKWY DR., HOLLISTER, CA 95023
(831) 636-4020
(831) 636-4025
Mailing address
1131 COMMUNITY PKWY DR., HOLLISTER, CA 95023
(831) 636-4020
(831) 636-4025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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