Individual
EUNICE DOLORES FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4623 LENNOX BLVD, INGLEWOOD, CA 90304-2215
(310) 850-4623
Mailing address
4623 LENNOX BLVD, INGLEWOOD, CA 90304-2215
(310) 850-4623
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
CA
Other
Enumeration date
06/04/2019
Last updated
12/15/2022
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