| Doris Shurden-lopez, Inc | |
|
901 Sunrise Ave Roseville CA 95661-4519 | |
| (916) 224-5485 | |
| Not Available |
| Full Name | Doris Shurden-lopez, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 901 Sunrise Ave, Roseville, California |
| Authorized Official Name and Position | Doris C Shurden-lopez (PRESIDENT) |
| Authorized Official Contact | 9162245485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doris Shurden-lopez, Inc Po Box 1904 Folsom CA 95763-1904 Ph: (916) 224-5485 | Doris Shurden-lopez, Inc 901 Sunrise Ave Roseville CA 95661-4519 Ph: (916) 224-5485 |
| NPI Number | 1871122770 |
|---|---|
| Provider Enumeration Date | 04/03/2020 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871122770 | NPI | - | NPPES |
| EO699198 | Other | CA | HEALTHCARE PROVIDERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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