ALEXIS HEREDIA LOPEZ

STOCKTON, CA
NPI1932767225
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  LMFT141235)
Enumeration Date2019-05-31
Last Update Date2023-10-19
Business Address
ALEXIS HEREDIA LOPEZ
1414 N CALIFORNIA ST
STOCKTON, CA 95202-1515
Phone number: 209-468-8267
Mailing Address
ALEXIS HEREDIA LOPEZ
1414 N CALIFORNIA ST
STOCKTON, CA 95202-1515
Phone number: 209-468-8267