Individual
VILMA FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSEDPSYCHOLOGIST
Contact information
Practice address
301 CITY DRIVE, ORANGE, CA 92868
(714) 935-6363
Mailing address
PO BOX 27874, ANAHEIM, CA 92809
(714) 935-6135
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
CA
Other
Enumeration date
11/08/2006
Last updated
09/29/2009
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