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Miss Alleana Micaela Maglaque Fuentes, MS
Mental Health Counselor in Springfield, Illinois
NPI 1407358492

Alleana Micaela Maglaque Fuentes is a Mental Health Counselor based in Springfield, IL and is specialized in Mental Health. Alleana Micaela Maglaque Fuentes practices in Springfield, IL and has the professional credentials of MS. The NPI Number for Alleana Micaela Maglaque Fuentes is 1407358492 and holds a License No. (Illinois).

The current practice location address for Alleana Micaela Maglaque Fuentes is 5230 6Th Street Frontage Rd E, Springfield, IL and can be reached out via phone at 217-585-4700.

Location: 5230 6Th Street Frontage Rd E, Springfield, IL, 62703-5128
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Provider Profile Details
NPI Number
1407358492
Provider Name
Alleana Micaela Maglaque Fuentes
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
5230 6Th Street Frontage Rd E, Springfield, IL, 62703-5128
Phone Number
217-585-4700
Fax Number
Provider Enumeration Date
03/06/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NA 01 NA
institution
Provider Business Practice Location Address Details
Address
5230 6Th Street Frontage Rd E
City
State
Zip
62703-5128
Phone Number
217-585-4700
Fax Number
person
Provider Business Mailing Address Details
Address
5230 6Th Street Frontage Rd E
City
State
Zip
62703-5128
Phone Number
217-585-4700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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