Individual
CARLOS PUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4125 ALPHA ST STE E, SAN DIEGO, CA 92113-4544
(619) 266-0166
Mailing address
4125 ALPHA ST STE E, SAN DIEGO, CA 92113-4544
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24653
CA
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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