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1023667359
MICHAEL JOEL LOPEZ
INDIO, CA
NPI
1023667359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA Ci30580820)
Enumeration Date
2019-09-09
Last Update Date
2023-06-02
Business Address
MICHAEL JOEL LOPEZ CADC I
44359 PALM ST
INDIO, CA 92201-3116
Phone number: 760-342-6616
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Mailing Address
MICHAEL JOEL LOPEZ CADC I
44359 PALM ST
INDIO, CA 92201-3116
Phone number: 760-342-6616
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