Individual provider · Type 1 NPI

Marco Antonio Lopez

Mental Health Counselor · Ontario, CA

NPI number 1699081968 Active

Practice location

2940 Inland Empire Blvd
Ontario, CA 91764

Fax (909) 579-8149

Mailing address

541 N San Jacinto St
Hemet, CA 92543-3107

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XASW85389 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1699081968

Marco Antonio Lopez's National Provider Identifier is 1699081968, issued on Aug 25, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ontario, CA. The record was last updated on Jul 13, 2021.