| NPI | 1982593067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE LOPEZ Counselor 909-322-7960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| 225C00000X Rehabilitation Counselor | |
| 101Y00000X Counselor | |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-02 |