Individual
ANDY NICOLAS FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RMHCI
Contact information
Practice address
102 NE 2ND ST # 162, BOCA RATON, FL 33432-3908
(484) 800-1625
Mailing address
4260 W 18TH LN, HIALEAH, FL 33012-5806
(786) 260-9939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH27800
FL
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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