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Individual

ALVARO LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1055 W HENDERSON AVE, SUITE A, PORTERVILLE, CA 93257-1490
(559) 788-1242
(559) 782-3910
Mailing address
1055 W HENDERSON AVE, SUITE A, PORTERVILLE, CA 93257-1490
(559) 788-1242
(559) 782-3910

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0814771
CA

Other

Enumeration date
08/05/2016
Last updated
08/05/2016
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