Individual
MARIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 N K ST, TULARE, CA 93274-4005
(559) 221-1680
Mailing address
201 N K ST, TULARE, CA 93274-4005
(559) 687-0929
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
11/25/2024
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