Individual
BERENICE ITALY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 21ST ST, BAKERSFIELD, CA 93301-4709
(661) 861-9967
(661) 861-0339
Mailing address
1018 21ST ST, BAKERSFIELD, CA 93301-4709
(661) 861-9967
(661) 861-0339
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1246170317
CA
Other
Enumeration date
02/10/2017
Last updated
03/26/2017
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