Individual
ALLYSON FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPAT, LCAT
Contact information
Practice address
9 SPRUCE ST, SEWELL, NJ 08080-1425
(914) 850-6955
Mailing address
9 SPRUCE ST, SEWELL, NJ 08080-1425
(914) 850-6955
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002742
NY
221700000X
Art Therapist
16LP00001800
NJ
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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