ANGELINA LINETTE FUENTEZ SUD COUNSELOR NPI 1457064578

NPI Information

  • NPI: 1457064578
  • Provider Name: ANGELINA LINETTE FUENTEZ, SUD COUNSELOR
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 416 CORSON AVE
    MODESTO, CA
    ZIP 95350
  • Phone: (209) 521-1805

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NPI Details

Angelina Linette Fuentez, SUD COUNSELOR is an addiction (substance use disorder) counselor in Modesto, CA. Angelina Linette Fuentez, SUD COUNSELOR NPI is 1457064578. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

416 CORSON AVE
MODESTO, CA
ZIP 95350-408
Phone: (209) 521-1805

The enumeration date for this NPI number is 1/4/2023 and was last updated on 1/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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