Individual
PAULA S FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
155 AIRPORT RD, FITCHBURG, MA 01420-8142
(978) 956-3815
Mailing address
155 AIRPORT RD, FITCHBURG, MA 01420-8142
(978) 956-3815
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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