Ichiro Lopez

NPI #1083447064 in Indio, California

Provider Information

NPI Number: 1083447064
Entity Type: Individual
Name: Ichiro Lopez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 23, 2024
Last Updated: Jan 14, 2025

Practice Location

Address: 47915 OASIS ST
City: Indio
State: California
ZIP Code: 92201-6950
Phone: (760) 863-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Behavior Technician	106S00000X	Primary

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