Individual
ALEXIS ROSE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4705 N SONORA AVE STE 113, FRESNO, CA 93722-3965
(559) 276-7558
Mailing address
2881 HUNTINGTON BLVD APT 110, FRESNO, CA 93721-2309
(559) 250-9986
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14509
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
12/07/2022
Last updated
01/25/2023
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