Fuentes, Debra Lee
Fuentes, Debra Lee is an sole proprietor health care provider with primary practice located at 36 Public Sq Suite 202, Willoughby OH 44094-7854. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Fuentes, Debra Lee can be contacted via phone (440) 488-4081.Contact Information
Primary practice address
36 Public Sq Suite 202
Willoughby OH 44094-7854
Phone: (440) 488-4081
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 031086 | Ohio |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | E8454-SUPV | Ohio |
Profile Details
NPI number | 1740550573 |
---|---|
LBN Legal business name | Fuentes, Debra Lee |
Credentials | LPCC-SUPV, LICDC-CS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 11th, 2012 |
Last updated | Apr 19th, 2023 - about last year |
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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