| Alisa Lopez, A Licensed Clinical Social Worker Group Inc | |
|
515 E Ocean Ave Ste E Lompoc CA 93436-6926 | |
| (805) 995-9393 | |
| Not Available |
| Full Name | Alisa Lopez, A Licensed Clinical Social Worker Group Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 515 E Ocean Ave Ste E, Lompoc, California |
| Authorized Official Name and Position | Alisa Lopez (OWNER) |
| Authorized Official Contact | 8059959393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alisa Lopez, A Licensed Clinical Social Worker Group Inc Po Box 3015 Lompoc CA 93438-3015 Ph: (805) 995-9393 | Alisa Lopez, A Licensed Clinical Social Worker Group Inc 515 E Ocean Ave Ste E Lompoc CA 93436-6926 Ph: (805) 995-9393 |
| NPI Number | 1235927955 |
|---|---|
| Provider Enumeration Date | 04/30/2025 |
| Last Update Date | 04/30/2025 |
| Certification Date | 04/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235927955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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