MARIO LOPEZ

STOCKTON, CA
NPI1053981944
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-07-01
Last Update Date2021-07-01
Business Address
MARIO LOPEZ
8626 LOWER SACRAMENTO RD STE 41
STOCKTON, CA 95210-1835
Phone number: 209-478-2487
Mailing Address
MARIO LOPEZ
8626 LOWER SACRAMENTO RD STE 41
STOCKTON, CA 95210-1835
Phone number: 209-294-9260