Fergie Rebeca Lopez, | |
610 Elm St Ste 212, San Carlos, CA 94070-3070 | |
(650) 591-9623 | |
Not Available |
Full Name | Fergie Rebeca Lopez |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 610 Elm St Ste 212, San Carlos, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083227193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Fergie Rebeca Lopez, 610 Elm St Ste 212, San Carlos, CA 94070-3070 Ph: (650) 591-9623 | Fergie Rebeca Lopez, 610 Elm St Ste 212, San Carlos, CA 94070-3070 Ph: (650) 591-9623 |
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