Individual
CHRISTIAN JAVIER LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
369 BALBIRNIE AVE, COLTON, CA 92324-1351
(909) 653-5028
Mailing address
369 BALBIRNIE AVE, COLTON, CA 92324-1351
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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