Individual
SUSANA FENTANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3224 VENTANA HILLS DR, LAS VEGAS, NV 89117-0103
(505) 289-2002
Mailing address
3224 VENTANA HILLS DR, LAS VEGAS, NV 89117-0103
(562) 781-4813
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CI5375
NV
101YP2500X
Professional Counselor
Primary
CP6317
NV
Other
Enumeration date
07/14/2022
Last updated
04/17/2026
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