Organization
DIOSA COUNSELING CENTER INC
Active
Organization
DIOSA COUNSELING CENTER INC
Active
Other names
DIOSA COUNSELING CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA MARIA LOPEZ LMFT, LPCC (OWNER)
(760) 253-1834
Entity
Organization
Contact information
Practice address
14201 KENTWOOD BLVD STE 2, VICTORVILLE, CA 92392-2472
(760) 437-2676
(760) 267-1909
Mailing address
14201 KENTWOOD BLVD STE 2, VICTORVILLE, CA 92392-2472
(760) 437-2676
(760) 267-1909
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
05/20/2022
Last updated
11/05/2024
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