Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaelan Vincent Lopez, SUDRC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1811571680

Kaelan Vincent Lopez, SUDRC is an Addiction (Substance Use Disorder) Counselor in Placerville, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

2844 Coloma St
Placerville, CA 95667-4406
Phone: (530) 642-1715
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 11812 (CA)

Record details

NPI number1811571680
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDRC
Sole proprietorNo
NPI enumeratedMay 7, 2021
Last updated in NPPESMay 7, 2021
Certification dateMay 7, 2021

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