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Jennifer M Lopez
Addiction (Substance Use Disorder) Counselor in San Mateo, California
NPI 1073025086

Jennifer M Lopez is an Addiction (Substance Use Disorder) Counselor based in San Mateo, CA and is specialized in Addiction (Substance Use Disorder). Jennifer M Lopez practices in San Mateo, CA. The NPI Number for Jennifer M Lopez is 1073025086 and holds a License No. (California).

The current practice location address for Jennifer M Lopez is 202 E Bellevue Ave, San Mateo, CA and can be reached out via phone at 650-947-8808.

Location: 202 E Bellevue Ave, San Mateo, CA, 94401-2305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073025086
Provider Name
Jennifer M Lopez
Credential
Provider Entity Type
Individual
Gender
Female
Address
202 E Bellevue Ave, San Mateo, CA, 94401-2305
Phone Number
650-947-8808
Fax Number
Provider Enumeration Date
10/31/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
202 E Bellevue Ave
City
San Mateo
State
California
Zip
94401-2305
Phone Number
650-947-8808
Fax Number
person
Provider Business Mailing Address Details
Address
202 E Bellevue Ave
City
San Mateo
State
California
Zip
94401-2305
Phone Number
650-947-8808
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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