Individual
JAZMINE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
157 E VALLEY PKWY, ESCONDIDO, CA 92025-2762
(760) 546-2838
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
95610
CA
104100000X
Social Worker
Primary
121911
CA
Other
Enumeration date
09/22/2015
Last updated
07/23/2024
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