GUSTAVO DANIEL LOPEZ

LAKE ELSINORE, CA
NPI1407642036
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-04-18
Last Update Date2025-04-23
Business Address
Mr. GUSTAVO DANIEL LOPEZ RADT R1500990323
600 3RD ST STE C
LAKE ELSINORE, CA 92530-2748
Phone number: 951-674-5354
Mailing Address
Mr. GUSTAVO DANIEL LOPEZ RADT R1500990323
4125 BALLANTREE ST
LAKE ELSINORE, CA 92530-2015
Phone number: 840-207-5572
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