LETICIA CANTOR-LOPEZ (NPI# 1295176303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295176303 |
| Entity Type | Individual |
| Full Name | LETICIA CANTOR-LOPEZ |
| Credential | ACSW |
| Practice Address |
40 E Minarets Ave Fresno CA 93650-1239 |
| Practice Telephone | 5594360482 |
| Mailing Telephone | 5598015799 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 88890 | CA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
88890 | CA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
88890 | CA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
35936 | CA | Behavioral Health & Social Service Providers |
| Street Address |
40 E MINARETS AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93650-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194366120 | Sarah Marie Bartee | Counselor | 40 E Minarets Ave, Fresno, CA 93650-1239 | 2019-10-01 |
| 1558831578 | Libertad Esmeralda Lopez | Case Manager/Care Coordinator | 40 E Minarets Ave, Fresno, CA 93650-1239 | 2018-12-03 |
| 1396280004 | Danielle Aguilar Gonzalez | Case Manager/Care Coordinator | 40 E Minarets Ave, Fresno, CA 93650-1239 | 2017-01-04 |
| 1588073381 | Olivia Zavala Rico | Case Manager/Care Coordinator | 40 E Minarets Ave, Fresno, CA 93650-1239 | 2014-08-05 |
| 1114261484 | Pang Her | Counselor | 40 E Minarets Ave, Fresno, CA 93650-1239 | 2012-11-26 |
| 1578859211 | Rosa Maria Rosales | Marriage & Family Therapist | 40 E Minarets Ave, Fresno, CA 93650-1239 | 2011-06-21 |
| 1730332164 | Brandon Joseph Martinez | Counselor | 40 E Minarets Ave, Fresno, CA 93650-1239 | 2008-10-29 |
| 1740336890 | Maria Grace Moreno | Licensed Vocational Nurse | 40 E Minarets Ave, Fresno, CA 93650-1239 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508371279 | Mariella Valladares | Counselor | 40 E Minarets, Pinedale, Ca, Pinedale, CA 93650 | 2017-12-04 |
| 1346627999 | Amelia Mendoza | Case Manager/Care Coordinator | 40 E Minarets Ave #1, Pinedale, CA 93650 | 2015-05-04 |
| 1053740001 | Darci Simms | Social Worker | 40 E Minarets, Pinedale, CA 93650 | 2013-11-09 |
| 1043567001 | Kyle Matthew Luis | Licensed Psychiatric Technician | 40 East Minarets, Pinedale, CA 93650 | 2012-08-09 |
| 1184761710 | James Molina | Rehabilitation Practitioner | 40 E. Minarets, Pinedale, CA 93650 | 2007-01-31 |
| 1265549588 | Robert Thomas Ensom II | Psychiatry & Neurology | 40 E. Minarets Ave, Pinedale, CA 93650 | 2006-08-23 |
| 1881012896 | Dolores Cruz Sandoval | Licensed Vocational Nurse | 40 E. Minarets, Pinedale, CA 93650 | 2014-04-07 |
| 1609902949 | Valley Care Residential | Intermediate Care Facility, Mentally Retarded | 1076 W Minarets Ave, Fresno, CA 93650-1062 | 2007-02-23 |
| 1588681837 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 7065 N Ingram Ave, Fresno, CA 93650-1083 | 2006-07-16 |
| 1245638626 | Dorothy D Tran | Pharmacist | 7065 N Ingram Ave, Fresno, CA 93650-1083 | 2014-12-16 |
| Find all providers in zip 93650 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962012658 | Susan Vue | Counselor | 4855 E King Cyn Rd Ste 105, Fresno, CA 93727-3811 | 2020-08-06 |
| 1104445543 | Chavon Cecily Williams | Counselor | 4006 Redwood Hill Ct, Fresno, TX 77545-8726 | 2020-04-15 |
| 1003444530 | Healing Hopes, Inc. | Counselor | 1960 N Gateway Blvd, Fresno, CA 93727-1604 | 2020-03-30 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1730726407 | Martha Lynn Hosier | Counselor | 1616 W Shaw Ave Ste B2, Fresno, CA 93711-3513 | 2019-12-02 |
| 1598228439 | Bayon B Harris Sr. | Counselor | 4111 W Princeton Ave, Fresno, CA 93722-6810 | 2019-04-08 |
| 1205392008 | Andrew Marshall Davis | Counselor | 320 E Warner Ave, Fresno, CA 93710-3711 | 2019-02-16 |
| 1902375637 | Andrew Arroyo | Counselor | 1925 E Rialto Ave, Fresno, CA 93726-0229 | 2018-11-26 |
| 1265917504 | Romaine Ornelia Desclos | Counselor | 6435 N Palm Ave Ste 103, Fresno, CA 93704-1086 | 2018-10-02 |
| 1508357773 | Armando Mendoza | Counselor | 3138 W Dakota Ave Spc 215, Fresno, CA 93722-4991 | 2018-05-23 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.