Individual
CHRISTINA JOIE ESTHER FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT
Contact information
Practice address
7000B S CENTER DR, CLEARLAKE, CA 95422-8458
(707) 994-7090
(707) 994-7092
Mailing address
PO BOX 906, BOONVILLE, CA 95415-0906
(707) 510-7934
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
03/11/2025
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