Individual provider · Type 1 NPI
Monica Fuentes Carbonetto
Mental Health Counselor · Portland, OR
NPI number
1790223758
Active
Practice location
713 SE 17th Ave
Portland, OR 97214-2628
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | PRC15110 (DC) |
| Mental Health Counselor Primary | 101YM0800X | C6557 (OR) |
| Mental Health Counselor | 101YM0800X | LC11076 (MD) |
Mental Health Counselor: Definition to come...
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About NPI 1790223758
Monica Fuentes Carbonetto's National Provider Identifier is 1790223758, issued on Feb 9, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Dec 12, 2023.