Individual
CAROLYN J MILLER LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPSC, APCC
Contact information
Practice address
395 DOHERTY DR, LARKSPUR, CA 94939-1536
(415) 755-2344
Mailing address
PO BOX 2185, SAN RAFAEL, CA 94912-2185
(916) 222-7576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APCC20793
CA
101YP2500X
Professional Counselor
Primary
APCC20793
CA
101YS0200X
School Counselor
—
CA
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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