Individual
AVA FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
521 DRIFT STONE AVE, LAS VEGAS, NV 89123-1201
(702) 525-5195
Mailing address
521 DRIFT STONE AVE, LAS VEGAS, NV 89123-1201
(702) 525-5195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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