person
Ana Lisa De La Fuente
Mental Health Counselor in Mount Shasta, California
NPI 1104941756

Ana Lisa De La Fuente is a Mental Health Counselor based in Mount Shasta, CA and is specialized in Mental Health. Ana Lisa De La Fuente practices in Mount Shasta, CA. The NPI Number for Ana Lisa De La Fuente is 1104941756 and holds a License No. (California).

The current practice location address for Ana Lisa De La Fuente is 1107 Ream Ave, Mount Shasta, CA and can be reached out via phone at 530-926-1436.

Location: 1107 Ream Ave, Mount Shasta, CA, 96067-9768
person
Provider Profile Details
NPI Number
1104941756
Provider Name
Ana Lisa De La Fuente
Credential
Provider Entity Type
Individual
Gender
Female
Address
1107 Ream Ave, Mount Shasta, CA, 96067-9768
Phone Number
530-926-1436
Fax Number
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1107 Ream Ave
City
State
Zip
96067-9768
Phone Number
530-926-1436
Fax Number
person
Provider Business Mailing Address Details
Address
1107 Ream Ave
City
State
Zip
96067-9768
Phone Number
530-926-1436
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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