Lopez, Mayra Gricel

Lopez, Mayra Gricel is an individual health care provider with primary practice located at 1989 Vicente Dr , San Luis Obispo CA 93405-6863. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lopez, Mayra Gricel can be contacted via phone (805) 781-1354.

Contact Information

Primary practice address
1989 Vicente Dr San Luis Obispo CA 93405-6863
Phone: (805) 781-1354
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 73702 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 91999 California

Profile Details

NPI number 1386180628
LBN Legal business name Lopez, Mayra Gricel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2017
Last updated Oct 2nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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