person
Mr. Jerry Wayne Lopez, PT
Mental Health Counselor in Rialto, California
NPI 1023155694

Jerry Wayne Lopez is a Mental Health Counselor based in Fontana, CA and is specialized in Mental Health. Jerry Wayne Lopez practices in Rialto, CA and has the professional credentials of PT. The NPI Number for Jerry Wayne Lopez is 1023155694 and holds a License No. 22964 (California).

The current practice location address for Jerry Wayne Lopez is 850 E Foothill Blvd, Rialto, CA and can be reached out via phone at 909-421-9370 and via fax at 909-421-9392.

Location: 850 E Foothill Blvd, Rialto, CA, 92335-3692
person
Provider Profile Details
NPI Number
1023155694
Provider Name
Jerry Wayne Lopez
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
850 E Foothill Blvd, Rialto, CA, 92335-3692
Phone Number
909-421-9370
Fax Number
909-421-9392
Provider Enumeration Date
01/31/2007
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
850 E Foothill Blvd
City
State
Zip
92376-5230
Phone Number
909-421-9370
Fax Number
909-421-9392
person
Provider Business Mailing Address Details
Address
850 E Foothill Blvd
City
State
Zip
92376-5230
Phone Number
909-421-9370
Fax Number
909-421-9392
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
22964 (California)
Definition
Definition to come...
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