Individual provider · Type 1 NPI

Maria Guadalupe Lopez Pacheco

Professional Counselor · Modesto, CA

NPI number 1104509652 Active

Practice location

1700 Mchenry Village Way Ste 14
Modesto, CA 95350-4339

Call (209) 312-9580 Map

Fax (209) 312-9584

Mailing address

100 Poplar Ave
Modesto, CA 95354-0510

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XASW141613 (CA)

Professional Counselor: Definition to come...

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About NPI 1104509652

Maria Guadalupe Lopez Pacheco's National Provider Identifier is 1104509652, issued on Aug 10, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Modesto, CA. The record was last updated on Aug 20, 2026.