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Ignacio Lopez SR.
Addiction (Substance Use Disorder) Counselor in Riverside, California
NPI 1932601499

Ignacio Lopez SR. is an Addiction (Substance Use Disorder) Counselor based in Riverside, CA and is specialized in Addiction (Substance Use Disorder). Ignacio Lopez SR. practices in Riverside, CA. The NPI Number for Ignacio Lopez SR. is 1932601499 and holds a License No. 168195 (California).

The current practice location address for Ignacio Lopez SR. is 17270 Roosevelt St, Riverside, CA and can be reached out via phone at 951-780-2541.

Location: 17270 Roosevelt St, Riverside, CA, 92508-9523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932601499
Provider Name
Ignacio Lopez SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
17270 Roosevelt St, Riverside, CA, 92508-9523
Phone Number
951-780-2541
Fax Number
Provider Enumeration Date
03/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17270 Roosevelt St
City
Riverside
State
California
Zip
92508-9523
Phone Number
951-780-2541
Fax Number
person
Provider Business Mailing Address Details
Address
17270 Roosevelt St
City
Riverside
State
California
Zip
92508-9523
Phone Number
951-780-2541
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.
168195 (California)
Definition
Definition to come...
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