Individual
ALICIA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29133 TANOAK, LAKE ELSINORE, CA 92530-9128
(909) 343-9403
Mailing address
29133 TANOAK, LAKE ELSINORE, CA 92530-9128
(909) 343-9403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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