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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIGUEL EZEQUIEL LOPEZ

Active Sole Proprietor

MIGUEL EZEQUIEL LOPEZ is a Marriage & Family Therapist healthcare provider located in MODESTO, California. NPI 1104413640 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · MODESTO, CA

Registration Details

NPI Number
1104413640
Provider Type
Individual
Gender
Male
NPI Issued
Dec 30, 2020 (5.4781791981168 yrs)
Last Updated
Jun 26, 2025
License
155022 (CA)
Sole Proprietor
Yes

Practice Information

Address
PO BOX 577924
MODESTO, CA, 953577924
Browse CA providers · Browse ZIP 95357
Phone
0941234252
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in MODESTO, CA

Name Credential NPI
MS. CAROLE GAY WALKER MFT 1528058294
ALFONSO HERNANDEZ LCSW 1942283148
MRS. MICHELE DIANA CORGIAT MFT 1275563124
MR. WESS J FERGUSON M.F.T. 1922027382
MR. JOHN M QUINONES M.A., M.F.T. 1386663045
REBECCA ANN PEDERSEN LMFT 1902826266
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.