Individual
VANESSA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 RICHLAND AVE BLDG F, CERES, CA 95307-4562
(209) 525-7444
Mailing address
1904 RICHLAND AVE BLDG F, CERES, CA 95307-4562
(209) 525-7444
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
118061
CA
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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