# MRS. ODALYS JEANETTE FUENTES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205247061
- **Gender:** F
- **Credential:** LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 10277 | ID | Yes |
| 106H00000X | Marriage & Family Therapist | 95690 | CA | — |
| 106H00000X | Marriage & Family Therapist | LMFT111497 | CA | — |
| 225400000X | Rehabilitation Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/15/2014
- **Last updated:** 10/08/2026