| David Lopez Marriage And Family Therapist Inc | |
|
3600 Sisk Rd # 5a-16 Modesto CA 95356-0535 | |
| (209) 626-8118 | |
| (209) 502-7035 |
| Full Name | David Lopez Marriage And Family Therapist Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3600 Sisk Rd # 5a-16, Modesto, California |
| Authorized Official Name and Position | David Lopez (PRESIDENT AND CEO) |
| Authorized Official Contact | 2096268118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Lopez Marriage And Family Therapist Inc Po Box 578534 Modesto CA 95357-8534 Ph: (209) 626-8118 | David Lopez Marriage And Family Therapist Inc 3600 Sisk Rd # 5a-16 Modesto CA 95356-0535 Ph: (209) 626-8118 |
| NPI Number | 1215768734 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215768734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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