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NPI Code Detail

MEDICARE: JESUS LOPEZ JR. LPC

MEDICARE: JESUS LOPEZ JR. LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor90731TX

General Provider Information

NPI Number : 1124526298
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESUS LOPEZ JR. LPC
Provider Business Mailing Address
First Line : 21600 OXNARD ST STE 1800
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-7807
Country : US
Telephone Number : 818-345-2345
Fax Number :
Provider Business Practice Location Address
First Line : 6101 W COURTYARD DR STE 2-225
Second Line :
City : AUSTIN
State : TX
Zip : 78730-5044
Country : US
Telephone Number : 512-956-5003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2018
Last Update Date : 09/12/2025

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