MICHAEL ANTHONY FUENTES

SANTA MARIA, CA
NPI1861618324
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-04-17
Last Update Date2007-07-08
Business Address
-- MICHAEL ANTHONY FUENTES
105 N LINCOLN ST
SANTA MARIA, CA 93458-4319
Phone number: 805-928-1707
Mailing Address
-- MICHAEL ANTHONY FUENTES
105 N LINCOLN ST
SANTA MARIA, CA 93458-4319
Phone number: 805-928-1707