Individual
CELESTE ELENA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8030 SOQUEL AVE STE 103, SANTA CRUZ, CA 95062-2096
(831) 476-1747
Mailing address
8030 SOQUEL AVE STE 103, SANTA CRUZ, CA 95062-2096
(831) 476-1747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1605310325
CA
175T00000X
Peer Specialist
MPSS-QCYNRG
CA
Other
Enumeration date
10/10/2023
Last updated
04/02/2025
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