Individual
PAOLA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 CUMMINS DR, MODESTO, CA 95358-6400
(209) 277-4410
Mailing address
1620 CUMMINS DR, MODESTO, CA 95358-6400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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