Organization
FUENTES FAMILY COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE FUENTES PH.D (PRESIDENT)
(909) 248-4332
Entity
Organization
Contact information
Practice address
24230 BARTON RD, LOMA LINDA, CA 92354-3232
(909) 796-9300
Mailing address
PO BOX 10545, SAN BERNARDINO, CA 92423-0545
(909) 248-4332
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY19230
CA
Other
Enumeration date
02/06/2008
Last updated
02/02/2021
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