JOSE M LOPEZ

SAN RAFAEL, CA
NPI1326786641
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  r1446331021)
Enumeration Date2022-05-25
Last Update Date2022-05-25
Business Address
JOSE M LOPEZ
710 C ST STE 8
SAN RAFAEL, CA 94901-3853
Phone number: 415-485-6736
Mailing Address
JOSE M LOPEZ
710 C ST STE 8
SAN RAFAEL, CA 94901-3853
Phone number: 415-485-6736
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