MEDICARE: DACIA MARTINEZ LOPEZ LPCC

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
1	101YM0800X	Mental Health Counselor	21309	CA

General Provider Information

NPI Number	:	1316897895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DACIA MARTINEZ LOPEZ LPCC

Provider Business Mailing Address
First Line	:	1020 SUNCAST LN STE 104
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-9335
Country	:	US
Telephone Number	:	408-755-5138
Fax Number	:

Provider Business Practice Location Address
First Line	:	1020 SUNCAST LN STE 104
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-9335
Country	:	US
Telephone Number	:	408-755-5138
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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