| Debra Lee Fuentes, LPCC-SUPV, LICDC-CS | |
|
36 Public Sq, Suite 202, Willoughby, OH 44094-7854 | |
| (440) 488-4081 | |
| Not Available |
| Full Name | Debra Lee Fuentes |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 36 Public Sq, Willoughby, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740550573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 031086 (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | E8454-SUPV (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Lee Fuentes, LPCC-SUPV, LICDC-CS 36 Public Sq Ste 105, Willoughby, OH 44094-7864 Ph: (440) 488-4081 | Debra Lee Fuentes, LPCC-SUPV, LICDC-CS 36 Public Sq, Suite 202, Willoughby, OH 44094-7854 Ph: (440) 488-4081 |
Tatiana Dwyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Niels William Nielsen, LISW Counselor Medicare: Not Enrolled in Medicare Practice Location: 38879 Mentor Ave, Suite C, Willoughby, OH 44094 Phone: 440-953-9999 Fax: 440-918-3839 | |
Shelly L. Beal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Jennifer Elizabeth Vittek, Counselor Medicare: Medicare Enrolled Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Dana Elizabeth Knight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Melissa Louise Kahl, Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 | |
Adam Taylor Dawson, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 38882 Mentor Ave, Willoughby, OH 44094 Phone: 440-953-9999 |