Individual
CANDY A LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40965 GRIMMER BLVD, FREMONT, CA 94538-2846
(510) 938-2226
Mailing address
1501 DECOTO ROAD #203, UNION CITY, CA 94587-3719
(510) 938-2226
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
02/26/2010
Last updated
11/03/2016
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