IGNACIO LOPEZ

RIVERSIDE, CA
NPI1932601499
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  168195)
Enumeration Date2018-03-01
Last Update Date2018-03-01
Business Address
IGNACIO LOPEZ
17270 ROOSEVELT ST
RIVERSIDE, CA 92508-9523
Phone number: 951-780-2541
Mailing Address
IGNACIO LOPEZ
17270 ROOSEVELT ST
RIVERSIDE, CA 92508-9523
Phone number: 951-780-2541