GUSTAVO LOPEZ

TRUCKEE, CA
NPI1194938480
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-07
Last Update Date2007-07-08
Business Address
-- GUSTAVO LOPEZ
10015 PALISADES DR STE 1
TRUCKEE, CA 96161-1941
Phone number: 530-587-8194
Mailing Address
-- GUSTAVO LOPEZ
PO BOX 1344
TRUCKEE, CA 96160-1344
Phone number: 530-587-8194
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