Individual
CARMELO ISRAEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1756 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 383-3669
Mailing address
1756 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 383-3669
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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