person
Isabella Lydia Lopez, RADTI
Addiction (Substance Use Disorder) Counselor in Imperial Beach, California
NPI 1629849369

Isabella Lydia Lopez is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Isabella Lydia Lopez practices in Imperial Beach, CA and has the professional credentials of RADTI. The NPI Number for Isabella Lydia Lopez is 1629849369 and holds a License No. R1523640923 (California).

The current practice location address for Isabella Lydia Lopez is 740 10Th St, Imperial Beach, CA and can be reached out via phone at 619-906-5323 and via fax at 619-296-0589.

Location: 740 10Th St, Imperial Beach, CA, 92102-4541
person
Provider Profile Details
NPI Number
1629849369
Provider Name
Isabella Lydia Lopez
Credential
RADTI
Provider Entity Type
Individual
Gender
Female
Address
740 10Th St, Imperial Beach, CA, 92102-4541
Phone Number
619-906-5323
Fax Number
619-296-0589
Provider Enumeration Date
01/11/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
740 10Th St
City
State
Zip
91932-2216
Phone Number
619-906-5323
Fax Number
619-296-0589
person
Provider Business Mailing Address Details
Address
740 10Th St
City
State
Zip
91932-2216
Phone Number
619-906-5323
Fax Number
619-296-0589
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1523640923 (California)
Definition
Definition to come...
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