Individual
MARIA FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 PICCARD DR, 1400, ROCKVILLE, MD 20850-4320
(240) 777-4863
Mailing address
1301 PICCARD DR, 1400, ROCKVILLE, MD 20850-4320
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12640
MD
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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