LUBIANKA LOPEZ
NPI 1902256324
Counselor - Mental Health in San Bruno, CA
Active since June 16, 2016
About Lubianka Lopez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUBIANKA LOPEZ (NPI 1902256324) is an individual mental health provider in San Bruno, California, licensed in California (LCSW67578) and active in the NPI registry since June 2016.
NPPES Registry Identity
NPI1902256324
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLUBIANKA LOPEZ
Location Address1290 COMMODORE DRSan Bruno, CA 94066-2304
Mailing Address1290 Commodore DrSan Bruno, CA 94066-2304 · (650) 583-1260
Phone(650) 583-1260
Sole ProprietorNo
Enumeration DateJune 16, 2016
✔ NPI 1902256324 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · LCSW67578
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LCSW67578 (CA)
1290 COMMODORE DR, San Bruno, CA 94066
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902256324, enumerated as an "individual" on June 16, 2016.
The provider is located at 1290 COMMODORE DR SAN BRUNO, CA 94066 and the phone number is (650) 583-1260.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
