VICENTA AGNES LOPEZ MATEO

WEST COVINA, CA
NPI1992352496
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCSW127078)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: CA  ASW95300)
390200000X Student in an Organized Health Care Education/Training Program
101YM0800X Counselor, Mental Health
(Licence: CA  ASW95300)
Enumeration Date2019-08-20
Last Update Date2024-11-06
Business Address
VICENTA AGNES LOPEZ MATEO
1515 W CAMERON AVE STE 350
WEST COVINA, CA 91790-2726
Phone number: 626-337-8811
Mailing Address
VICENTA AGNES LOPEZ MATEO
1515 W CAMERON AVE STE 350
WEST COVINA, CA 91790-2726
Phone number: