Individual
JANE LIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3690
Mailing address
7226 SEPULVEDA BLVD, VAN NUYS, CA 91405-2003
(818) 235-1414
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/15/2021
Last updated
10/22/2024
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