Individual
MRS. GLORIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1523 LONGBRANCH AVE, GROVER BEACH, CA 93433-2508
(805) 473-7004
(805) 473-7188
Mailing address
201 W CHAPEL ST, SANTA MARIA, CA 93458-4303
(805) 922-2243
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CI38070423
CA
104100000X
Social Worker
Primary
ASW120341
CA
Other
Enumeration date
07/10/2007
Last updated
04/15/2025
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