George Fuentes
Marriage & Family Therapist in Santa Ana, CA. Individual provider (NPI-1).
NPI number1124459847
StatusActive
Last updated in NPPESJun 10, 2021
Details
- NPI
- 1124459847
- Entity type
- Individual (NPI-1)
- Name
- Mr. George Fuentes
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2013
- Certification date
- Jun 10, 2021
- Last updated
- Jun 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 126073 | CA | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
1821 W Blackhawk DrSanta Ana, CA 92704-7122
Phone 949-385-1962
Mailing address
Po Box 13022Newport Beach, CA 92658-5082
Phone 949-385-1962
Other practice locations
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