Provider Demographics
NPI:1437332368
Name:FUENTES, DELFINIA S (LPCC)
Entity type:Individual
Prefix:
First Name:DELFINIA
Middle Name:S
Last Name:FUENTES
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4704 MARBELLA DR NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-4666
Mailing Address - Country:US
Mailing Address - Phone:505-235-4221
Mailing Address - Fax:
Practice Address - Street 1:4704 MARBELLA DR NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-4666
Practice Address - Country:US
Practice Address - Phone:505-307-4775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-13
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NM0186741101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health