Individual provider · Type 1 NPI
Johanna Fuentes-Murillo, MS, LAC
Mental Health Counselor · Staten Island, NY
NPI number
1710790860
Active
Practice location
1110 South Ave
Staten Island, NY 10314-3403
Mailing address
598 Central Ave Ste 7, PO Box 482
New Providence, NJ 07974
Other practice locations
- Integrated Hearts Counseling And Consultation, Llc, 422 Stage Coach Road, PO Box 424, Millstone, NJ 08510 · (201) 723-0713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 37AC00848500 (NJ) |
Mental Health Counselor: Definition to come...
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About NPI 1710790860
Johanna Fuentes-Murillo, MS, LAC's National Provider Identifier is 1710790860, issued on Jan 30, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Staten Island, NY. The record was last updated on Jan 30, 2025.