Provider Demographics
NPI:1528785516
Name:LOPEZ, CYNTHIA IRAIS (LMFT)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:IRAIS
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:IRAIS
Other - Last Name:GUTIERREZ ASCENCIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 27532
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93729-7532
Mailing Address - Country:US
Mailing Address - Phone:559-943-3078
Mailing Address - Fax:
Practice Address - Street 1:7413 N CEDAR AVE STE 103
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3833
Practice Address - Country:US
Practice Address - Phone:559-943-3078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA157296106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist