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Individual

MAYRA LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC20612

Contact information

Practice address
380 COALINGA PLZ, COALINGA, CA 93210-1704
(855) 343-1057
(844) 563-6078
Mailing address
380 COALINGA PLZ, COALINGA, CA 93210-1704
(855) 343-1057
(844) 587-6405

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5898
CA
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
LPCC20612
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APCC17886
CALIFORNIA BOAR OF BEHAVIORAL SCIENCES
CA
01
APCC5898
CALIFORNIA BOARD OF BEHAVIORAL SCIENCES
CA
01
LPCC20612
BBS
CA
Enumeration date
11/21/2017
Last updated
09/29/2025
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