Individual
ANTHONY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9442 INTERNATIONAL BLVD, OAKLAND, CA 94603-1444
(510) 777-8448
(510) 777-8453
Mailing address
36639 SYCAMORE ST, NEWARK, CA 94560-2957
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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