Individual
ALYSSA ALEXIS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
831 E ARROW HWY, POMONA, CA 91767-2535
(909) 624-1233
Mailing address
25910 ACERO STE 160, MISSION VIEJO, CA 92691-2777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
115637
CA
104100000X
Social Worker
Primary
ASW115637
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115637
BBS
CA
Enumeration date
10/08/2019
Last updated
04/10/2025
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