Individual
ALYCIA LOPEZ VERDUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(669) 308-7284
Mailing address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
02/19/2026
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