Individual provider · Type 1 NPI

Samara Fuentes

Mental Health Counselor · Fort Wayne, IN

NPI number 1700557386 Active

Practice location

915 S Clinton St
Fort Wayne, IN 46802-2601

Call (260) 422-5625 Map

Fax (260) 420-7382

Mailing address

517 N Broadway St
Butler, IN 46721-1007

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1700557386

Samara Fuentes's National Provider Identifier is 1700557386, issued on Sep 23, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 23, 2021.