Individual
MARY L FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9636 KELLY DR, LOVELAND, OH 45140-5629
(513) 617-8859
Mailing address
9636 KELLY DR, LOVELAND, OH 45140-5629
(513) 617-8859
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1437532215
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0191382
—
OH
Enumeration date
11/14/2022
Last updated
11/14/2022
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