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NPI Code Detail

MEDICARE: CASIE ELIZABETH LOPEZ LMFT

MEDICARE: CASIE ELIZABETH 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 TherapistMFC52559CA

General Provider Information

NPI Number : 1992149264
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASIE ELIZABETH LOPEZ LMFT
Provider Business Mailing Address
First Line : 25910 ACERO STE 160
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-2777
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 701 W KIMBERLY AVE STE 120
Second Line :
City : PLACENTIA
State : CA
Zip : 92870-6345
Country : US
Telephone Number : 714-334-7079
Fax Number : 714-428-3104
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2013
Last Update Date : 11/18/2024

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Directions to “ CASIE ELIZABETH LOPEZ LMFT” Practice Location

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