Individual
BIANCA SAYURI LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
976 LENZEN AVE, SAN JOSE, CA 95126-2737
(408) 792-3797
Mailing address
976 LENZEN AVE, SAN JOSE, CA 95126-2737
(408) 792-3797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
CA
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2022
Last updated
04/17/2026
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