Mariah Mia Lopez

NPI #1154891323 in Indio, California

Provider Information

NPI Number: 1154891323
Entity Type: Individual
Name: Mariah Mia Lopez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Nov 30, 2018
Last Updated: Nov 30, 2018

Practice Location

Address: 82704 MILES AVE
City: Indio
State: California
ZIP Code: 92201-4230
Phone: (760) 342-5727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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