Individual provider · Type 1 NPI

Laura Lopez

Addiction (Substance Use Disorder) Counselor · Lake Elsinore, CA

NPI number 1417220179 Active

Practice location

600 3rd St
Lake Elsinore, CA 92530-2748

Fax (951) 216-7333

Mailing address

PO Box 549
Lake Elsinore, CA 92531-0549

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 1417220179

Laura Lopez's National Provider Identifier is 1417220179, issued on Feb 10, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lake Elsinore, CA. The record was last updated on Feb 10, 2012.