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
Phone: (360) 507-8032
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093477291 | NPPES |
| Washington | MEDICAID | 2109227 |
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