Individual provider · Type 1 NPI

Nercy Lisbeth Basulto Fuentes

Marriage & Family Therapist · El Dorado Hills, CA

NPI number 1043782147 Active

Practice location

1035 Suncast Ln Ste 120
El Dorado Hills, CA 95762-9339

Mailing address

1570 Daunting Dr
El Dorado Hills, CA 95762-7658

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1043782147

Nercy Lisbeth Basulto Fuentes's National Provider Identifier is 1043782147, issued on Dec 30, 2018. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in El Dorado Hills, CA. The record was last updated on Nov 10, 2025.