Individual provider · Type 1 NPI

Alleana Micaela Maglaque Fuentes, MS

Mental Health Counselor · Springfield, IL

NPI number 1407358492 Active

Practice location

5230 6th Street Frontage Rd E
Springfield, IL 62703-5128

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

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About NPI 1407358492

Alleana Micaela Maglaque Fuentes, MS's National Provider Identifier is 1407358492, issued on Mar 6, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, IL. The record was last updated on Jun 16, 2018.