Individual
AMBAR GUADALUPE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
155 N OCCIDENTAL BLVD, LOS ANGELES, CA 90026-4641
(213) 381-2931
Mailing address
155 N OCCIDENTAL BLVD, LOS ANGELES, CA 90026-4641
(213) 381-2931
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
118311
CA
Other
Enumeration date
11/15/2012
Last updated
12/17/2021
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