Individual
EDDIE LOPEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
555 TECHNOLOGY CT, RIVERSIDE, CA 92507-2155
(951) 686-8500
Mailing address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 715-5040
(951) 784-4976
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
103771
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/29/2014
Last updated
11/07/2023
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