Individual provider · Type 1 NPI

Nicole Jeanne Lopez

Addiction (Substance Use Disorder) Counselor · Riverside, CA

NPI number 1740806488 Active

Practice location

3075 Myers St
Riverside, CA 92503-5525

Call (951) 955-7829 Map

Fax (951) 358-7829

Mailing address

258 N Thompson St
Hemet, CA 92543-4311

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XMPSS-UNZSWE (CA)
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1541420124 (CA)
Case Manager/Care Coordinator 171M00000XNone listed

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About NPI 1740806488

Nicole Jeanne Lopez's National Provider Identifier is 1740806488, issued on Jun 18, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, CA. The record was last updated on Dec 2, 2024.