Organization
FUENTES COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA L FUENTES PCC, LICDC-CS (CLINICIAN/ OWNER)
(440) 488-4081
Entity
Organization
Contact information
Practice address
36 PUBLIC SQ, SUITE 202, WILLOUGHBY, OH 44094-7854
(440) 488-4081
Mailing address
36 PUBLIC SQ, SUITE 202, WILLOUGHBY, OH 44094-7854
(440) 488-4081
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
E8454
OH
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
E8454
OH
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/16/2013
Last updated
07/24/2013
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