Individual
ALISA G LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
515 E OCEAN AVE STE E, LOMPOC, CA 93436-6926
(805) 995-9393
Mailing address
PO BOX 3015, LOMPOC, CA 93438-3015
(805) 995-9393
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW60476
CA
1041C0700X
Clinical Social Worker
Primary
99402
CA
Other
Enumeration date
12/05/2016
Last updated
04/30/2025
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