Individual
MS. ALLISSA DIANE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPCC 5695
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
PCCI 7
CA
101YM0800X
Mental Health Counselor
PCCI 7
CA
101YP2500X
Professional Counselor
Primary
5695
CA
Other
Enumeration date
03/27/2012
Last updated
03/31/2021
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