Fuentes, Kimberly

Fuentes, Kimberly is an sole proprietor health care provider with primary practice located at 9431 Haven Ave Ste 100 , Rancho Cucamonga CA 91730-5879. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fuentes, Kimberly can be contacted via phone (909) 789-0850.

Contact Information

Primary practice address
9431 Haven Ave Ste 100 Rancho Cucamonga CA 91730-5879
Phone: (909) 789-0850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1213564 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1588212369
LBN Legal business name Fuentes, Kimberly
Credentials ACSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2019
Last updated Aug 13th, 2024 - about 2 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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