Individual
ANGEL FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1215 1ST ST, GILROY, CA 95020-4733
(408) 852-2480
Mailing address
1215 1ST ST, GILROY, CA 95020-4733
(408) 852-2480
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
81064
CA
Other
Enumeration date
08/04/2011
Last updated
03/12/2021
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