Individual
AMANDA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
333 S BEAUDRY AVE, LOS ANGELES, CA 90017-1466
(213) 241-3841
Mailing address
333 S BEAUDRY AVE, LOS ANGELES, CA 90017-1466
(213) 241-3841
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW83225
CA
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW109189
CA
Other
Enumeration date
06/18/2018
Last updated
10/10/2022
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