JOSHUA DALE LOPEZ

SAN MATEO, CA
NPI1477055374
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2018-03-06
Last Update Date2018-03-06
Business Address
JOSHUA DALE LOPEZ
25 N GRANT ST
SAN MATEO, CA 94401-2903
Phone number: 661-289-1943
Mailing Address
JOSHUA DALE LOPEZ
25 N GRANT ST
SAN MATEO, CA 94401-2903
Phone number: 661-289-1943
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