Individual provider · Type 1 NPI

Gustavo Lopez

Addiction (Substance Use Disorder) Counselor · Truckee, CA

NPI number 1194938480 Active

Practice location

10015 Palisades Dr Ste 1
Truckee, CA 96161-1941

Fax (530) 587-5617

Mailing address

PO Box 1344
Truckee, CA 96160-1344

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1194938480

Gustavo Lopez's National Provider Identifier is 1194938480, issued on May 7, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Truckee, CA. The record was last updated on Jul 8, 2007.