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MAYRA LOPEZ APCC

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1386158715

Individual Registrant:
 MAYRA  LOPEZ APCC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
40 E MINARETS AVE  PINEDALE, CA 93650 US
Tel: 855-343-1057  Fax: 844-587-6405

Contact information for business:
40 E MINARETS AVE  PINEDALE, CA 93650-1239 US
Tel: 855-343-1057  Fax: 844-587-6405

Registration Information:
NPI: 1386158715
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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