Individual provider · Type 1 NPI

Mark Fuentes

Mental Health Counselor · Merced, CA

NPI number 1104417526 Active

Practice location

1020 W Main St
Merced, CA 95340-4521

Call (209) 336-8206 Map

Mailing address

3123 Independence Dr
Livermore, CA 94551-7595

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104417526

Mark Fuentes's National Provider Identifier is 1104417526, issued on Jan 28, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Merced, CA. The record was last updated on Jan 28, 2021.