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Individual

ALEXIS HEREDIA LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1414 N CALIFORNIA ST, STOCKTON, CA 95202-1515
(209) 468-8267
(209) 468-8024
Mailing address
1414 N CALIFORNIA ST, STOCKTON, CA 95202-1515
(209) 468-8267

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT141235
CA

Other

Enumeration date
05/31/2019
Last updated
10/19/2023
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