Individual provider · Type 1 NPI

Fergie Rebeca Lopez

Mental Health Counselor · San Carlos, CA

NPI number 1083227193 Active

Practice location

610 Elm St Ste 212
San Carlos, CA 94070-3070

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1083227193

Fergie Rebeca Lopez's National Provider Identifier is 1083227193, issued on Aug 28, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Carlos, CA. The record was last updated on Aug 28, 2020.