Individual
ADRIANA FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 CHADBOURNE RD, FAIRFIELD, CA 94534-9639
(510) 317-1444
Mailing address
480 CHADBOURNE RD STE 101, FAIRFIELD, CA 94534-9641
(510) 317-1444
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
125817
CA
1041C0700X
Clinical Social Worker
125817
CA
Other
Enumeration date
08/09/2023
Last updated
09/16/2024
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