Individual provider · NPI-1
Jessica Xiomara Fuentes
Counselor, Mental Health · Guaynabo, PR
NPI number1437774940
StatusActive
Last updated in NPPESApr 30, 2024
Details
- NPI
- 1437774940
- Entity type
- Individual (NPI-1)
- Name
- Jessica Xiomara Fuentes
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 10, 2020
- Certification date
- Jun 10, 2020
- Last updated
- Apr 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 1417 | PR | Yes |
Practice location
Carr. 833 Apto. D3Villa Los Filtros Town House
Guaynabo, PR 00969-0000
Phone 787-907-3460
Mailing address
Carr. 833 Apto. D3Villa Los Filtros Town House
Guaynabo, PR 00969-0000
Phone 787-907-3460
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