Individual
AIDE FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
426 W 5TH ST, OXNARD, CA 93030-7057
(805) 247-0750
Mailing address
426 W 5TH ST, OXNARD, CA 93030-7057
(805) 247-0750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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