Individual
ALEXANDRIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 MAPLE AVE, LOS ANGELES, CA 90014-2211
(213) 430-6700
Mailing address
655 MAPLE AVE, LOS ANGELES, CA 90014-2211
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
AMFT140387
CA
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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