Provider Demographics
NPI:1235306929
Name:ACOSTA LOPEZ, VERONICA LIZBETH
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:LIZBETH
Last Name:ACOSTA LOPEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3954 MURPHY CANYON ROAD
Mailing Address - Street 2:SUITE D202
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123
Mailing Address - Country:US
Mailing Address - Phone:858-505-8031
Mailing Address - Fax:
Practice Address - Street 1:3954 MURPHY CANYON ROAD
Practice Address - Street 2:SUITE D202
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123
Practice Address - Country:US
Practice Address - Phone:858-505-8031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)