Individual
ALBA DENISSE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6693 CONVOY CT, SAN DIEGO, CA 92111-1008
(858) 505-0228
Mailing address
PO BOX 433215, SAN YSIDRO, CA 92143-3215
(619) 793-6751
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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