person
Kevin S Fuentes
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1760246300

Kevin S Fuentes is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Kevin S Fuentes practices in Los Angeles, CA. The NPI Number for Kevin S Fuentes is 1760246300 and holds a License No. (California).

The current practice location address for Kevin S Fuentes is 12021 Wilmington Ave Ste 301, Los Angeles, CA and can be reached out via phone at 424-454-6103.

Location: 12021 Wilmington Ave Ste 301, Los Angeles, CA, 90059-3019
person
Provider Profile Details
NPI Number
1760246300
Provider Name
Kevin S Fuentes
Credential
Provider Entity Type
Individual
Gender
Male
Address
12021 Wilmington Ave Ste 301, Los Angeles, CA, 90059-3019
Phone Number
424-454-6103
Fax Number
Provider Enumeration Date
02/13/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
12021 Wilmington Ave Ste 301
City
State
Zip
90059-3019
Phone Number
424-454-6103
Fax Number
person
Provider Business Mailing Address Details
Address
12021 Wilmington Ave Ste 301
City
State
Zip
90059-3019
Phone Number
424-454-6103
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(California)
Definition
Definition to come...
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