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Jessica Josephine Lopez
Mental Health Counselor in Sausalito, California
NPI 1740599356

Jessica Josephine Lopez is a Mental Health Counselor based in San Rafael, CA and is specialized in Mental Health. Jessica Josephine Lopez practices in Sausalito, CA. The NPI Number for Jessica Josephine Lopez is 1740599356 and holds a License No. (California).

The current practice location address for Jessica Josephine Lopez is 3000 Bridgeway, Sausalito, CA and can be reached out via phone at 415-332-3129.

Location: 3000 Bridgeway, Sausalito, CA, 94903-3680
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740599356
Provider Name
Jessica Josephine Lopez
Credential
Provider Entity Type
Individual
Gender
Female
Address
3000 Bridgeway, Sausalito, CA, 94903-3680
Phone Number
415-332-3129
Fax Number
Provider Enumeration Date
09/29/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3000 Bridgeway
City
Sausalito
State
California
Zip
94965-1489
Phone Number
415-332-3129
Fax Number
person
Provider Business Mailing Address Details
Address
3000 Bridgeway
City
Sausalito
State
California
Zip
94965-1489
Phone Number
415-332-3129
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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