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NPI Code Detail

MEDICARE: MELISSA LOPEZ LMFT

MEDICARE: MELISSA LOPEZ LMFT
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
1106H00000XMarriage & Family Therapist139748CA

General Provider Information

NPI Number : 1245760941
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA LOPEZ LMFT
Provider Business Mailing Address
First Line : 6840 N MAPLE AVE APT 111
Second Line :
City : FRESNO
State : CA
Zip : 93710-4566
Country : US
Telephone Number : 559-250-6449
Fax Number :
Provider Business Practice Location Address
First Line : 1209 S HUGHES AVE
Second Line :
City : FRESNO
State : CA
Zip : 93706-2321
Country : US
Telephone Number : 559-233-8340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2017
Last Update Date : 07/05/2023

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Directions to “ MELISSA LOPEZ LMFT” Practice Location

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