Individual
ALAN FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-R
Contact information
Practice address
27 LIBERTY SQUARE, STONY POINT, NY 10980
(845) 429-6900
(845) 429-7050
Mailing address
27 LIBERTY SQUARE, STONY POINT, NY 10980
(845) 429-6900
(845) 429-7050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R054103
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02180803
—
NY
Enumeration date
11/25/2008
Last updated
11/25/2008
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