| Fuentes Family Counseling, Inc. | |
|
24230 Barton Rd Loma Linda CA 92354-3232 | |
| (909) 796-9300 | |
| Not Available |
| Full Name | Fuentes Family Counseling, Inc. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 24230 Barton Rd, Loma Linda, California |
| Authorized Official Name and Position | Jose Fuentes (PRESIDENT) |
| Authorized Official Contact | 9092484332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fuentes Family Counseling, Inc. Po Box 10545 San Bernardino CA 92423-0545 Ph: (909) 248-4332 | Fuentes Family Counseling, Inc. 24230 Barton Rd Loma Linda CA 92354-3232 Ph: (909) 796-9300 |
| NPI Number | 1659559136 |
|---|---|
| Provider Enumeration Date | 02/06/2008 |
| Last Update Date | 02/02/2021 |
| Certification Date | 02/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659559136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PSY19230 (California) | Primary |
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