Individual
LUIS ANGEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10038 MEADOW WAY UNIT D, TRUCKEE, CA 96161-4974
(530) 426-2110
Mailing address
10038 MEADOW WAY UNIT D, TRUCKEE, CA 96161-4974
(530) 426-2110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
CA
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
05/21/2025
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