BRIAN JAMES FUENTE

LAVALE, MD
NPI1629715396
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  ADT-2064)
Enumeration Date2022-05-16
Last Update Date2022-05-16
Business Address
BRIAN JAMES FUENTE
14701 NATIONAL HWY SW STE 5&6
LAVALE, MD 21502-6573
Phone number: 301-687-0940
Mailing Address
BRIAN JAMES FUENTE
14701 NATIONAL HWY SW STE 5&6
LAVALE, MD 21502-6573
Phone number: 301-687-0940
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