Individual
ALEXIS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 GRIFFIN AVE, LOS ANGELES, CA 90031-3312
(323) 221-4134
Mailing address
1721 GRIFFIN AVE, LOS ANGELES, CA 90031-3312
(323) 221-4134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
111658
CA
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
06/28/2023
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