Fuentes, Nicole

Fuentes, Nicole is an sole proprietor health care provider with primary practice located at 5440 Lawrenceville Hwy Nw , Lilburn GA 30047-5927. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Fuentes, Nicole can be contacted via phone (678) 802-9355.

Contact Information

Primary practice address
5440 Lawrenceville Hwy Nw Lilburn GA 30047-5927
Phone: (678) 802-9355
Fax: (678) 802-9355
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH7359 Florida
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC004808 Georgia

Profile Details

NPI number 1073023164
LBN Legal business name Fuentes, Nicole
Credentials LPC, LMHC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2017
Last updated Oct 3rd, 2017 - about 9 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.

Request for update

Popular Providers