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1477036218
GUSTAVO FUENTES
STOCKTON, CA
NPI
1477036218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 8321)
Enumeration Date
2018-09-07
Last Update Date
2023-11-22
Business Address
GUSTAVO FUENTES APCC Asociate Licens
237 E CHANNEL ST
STOCKTON, CA 95202-2322
Phone number: 209-444-8910
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Mailing Address
GUSTAVO FUENTES APCC Asociate Licens
1020 W MAIN ST
MERCED, CA 95340-4521
Phone number: 925-758-2124
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