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Marco Antonio Lopez
Mental Health Counselor in Ontario, California
NPI 1699081968

Marco Antonio Lopez is a Mental Health Counselor based in Hemet, CA and is specialized in Mental Health. Marco Antonio Lopez practices in Ontario, CA. The NPI Number for Marco Antonio Lopez is 1699081968 and holds a License No. ASW85389 (California).

The current practice location address for Marco Antonio Lopez is 2940 Inland Empire Blvd, Ontario, CA and can be reached out via phone at 909-458-1350 and via fax at 909-579-8149.

Location: 2940 Inland Empire Blvd, Ontario, CA, 92543-3107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699081968
Provider Name
Marco Antonio Lopez
Credential
Provider Entity Type
Individual
Gender
Male
Address
2940 Inland Empire Blvd, Ontario, CA, 92543-3107
Phone Number
909-458-1350
Fax Number
909-579-8149
Provider Enumeration Date
08/25/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2940 Inland Empire Blvd
City
Ontario
State
California
Zip
91764
Phone Number
909-458-1350
Fax Number
909-579-8149
person
Provider Business Mailing Address Details
Address
2940 Inland Empire Blvd
City
Ontario
State
California
Zip
91764
Phone Number
909-458-1350
Fax Number
909-579-8149
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
ASW85389 (California)
Definition
Definition to come...
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