Individual
MAYRA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC20612
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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