Individual provider · Type 1 NPI

Domasio Ygnasio Lopez Jr.

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1811137375 Active

Practice location

1820 J St
Sacramento, CA 95811-3010

Call (916) 313-8417 Map

Fax (916) 444-5620

Mailing address

8642 New Island Way
Sacramento, CA 95828-7548

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2428 (CA)

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

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About NPI 1811137375

Domasio Ygnasio Lopez Jr.'s National Provider Identifier is 1811137375, issued on Feb 24, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Feb 24, 2009.