Jamie L Lopez
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Thermal, CA
NPI 1053924746 · NPPES record last updated Aug 24, 2020
Key facts
- NPI
- 1053924746
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- R93511214 (CA)
- Practice address
- 83385 Rosa Ave
Thermal, CA 92274-9506 - Phone
- (760) 398-2008
- NPI assigned
- Aug 24, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R93511214 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside County Latino Commission on Alcohol and Drug Services, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R93511214 | CA | Yes |
Addresses
Primary practice location
83385 Rosa Ave
Thermal, CA 92274-9506
Mailing address
1612 1St St
Coachella, CA 92236-1407
Phone (760) 398-9000
Other providers in Thermal, CA
- Noe Hernandez
- Fernanda Iniguez
- Brittanie Kaul
- Jennifer Kim
- Alan Murray Kuehn
- Madison Anne Lunn
- Irene Martinez
- Elvira Shaunise Meza
- Kevin Moledor
- Johnny Quintero
All providers in Thermal, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.