| Doctor Name: | MRS. ERICA LORENA LOPEZ |
| NPI Number: | 1235283789 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MFTI |
| License Number: | IMF48915 |
| Business Practice Address: | 827 Colorado Ave Los Banos, CA - 936353320 |
| Business Phone Number: | 2097106100 |
| Business Fax Number: | 2098272100 |
| Mailing Address: | 237 S Mercury St, SANTA NELLA |
| State: | CA |
| Postal Code: | 953229606 |
| Phone Number: | 2098261297 |
| Fax Number: | |
| NPI Enumeration Date: | 01/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | IMF48915 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |