Individual
KANDI MARIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
3109 N MILLBROOK AVE, FRESNO, CA 93703-1425
(559) 600-9180
Mailing address
6569 N RIVERSIDE DR STE 102, FRESNO, CA 93722-9319
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
122476
CA
101YM0800X
Mental Health Counselor
122476
CA
104100000X
Social Worker
Primary
122476
CA
Other
Enumeration date
10/14/2022
Last updated
01/28/2026
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