Individual
ANGELICA VANESSA FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2300 BOSWELL RD STE 275, CHULA VISTA, CA 91914-3557
(858) 279-1223
Mailing address
2300 BOSWELL RD STE 275, CHULA VISTA, CA 91914-3557
(858) 279-1223
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
112970
CA
Other
Enumeration date
10/20/2014
Last updated
07/18/2024
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