Individual
CANDY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AII057870518
Contact information
Practice address
725 E MAIN ST, SANTA PAULA, CA 93060-2748
(805) 761-9435
Mailing address
725 E MAIN ST, SANTA PAULA, CA 93060-2748
(805) 761-9435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AII057870518
CA
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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