Individual
ANGELINA CHRISTINA MARIA DE LA FUENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
554 W RALPH HALL PKWY, ROCKWALL, TX 75032-6644
(972) 771-3388
Mailing address
12103 SCHROEDER RD, DALLAS, TX 75243-3648
(956) 778-3769
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
97876
TX
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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