Fuentes, Brianna Leeann

Fuentes, Brianna Leeann is an individual health care provider with primary practice located at 500 Se Washington Ave , Chehalis WA 98532-3058. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Fuentes, Brianna Leeann can be contacted via phone (360) 507-8032.

Contact Information

Primary practice address
500 Se Washington Ave Chehalis WA 98532-3058
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X NC61050207 Washington

Profile Details

NPI number 1093477291
LBN Legal business name Fuentes, Brianna Leeann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2021
Last updated Oct 6th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093477291 NPPES
Washington MEDICAID 2109227

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