Individual
DR. CHARLENE JOYCE FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2140 SUTTER ST, SUITE 2, SAN FRANCISCO, CA 94115-3120
(415) 857-4995
Mailing address
2140 SUTTER ST, SUITE 2, SAN FRANCISCO, CA 94115-3120
(415) 857-4995
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY25869
CA
Other
Enumeration date
07/01/2009
Last updated
02/02/2014
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