Individual
IMANI LOPEZ DUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
920 1/2 YORK ST, VALLEJO, CA 94590-6204
(707) 299-8250
Mailing address
920 1/2 YORK ST, VALLEJO, CA 94590-6204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
09/15/2024
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