Individual provider · Type 1 NPI

Alexis Rose Lopez

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1376254623 Active

Practice location

4705 N Sonora Ave Ste 113
Fresno, CA 93722-3965

Mailing address

2881 Huntington Blvd Apt 110
Fresno, CA 93721-2309

Other practice locations

  • 1204 W Shaw Ave # 102, Fresno, CA 93711-3706 · (559) 681-1947

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14509 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

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

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About NPI 1376254623

Alexis Rose Lopez's National Provider Identifier is 1376254623, issued on Dec 7, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Jan 25, 2023.