Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ODALYS JEANETTE FUENTES, LMFT
DeactivatedMRS. ODALYS JEANETTE FUENTES, LMFT is a Marriage & Family Therapist healthcare provider located in PASADENA, California. NPI 1205247061 is deactivated in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · PASADENA, CA
This NPI has been deactivated.
The record was deactivated on December 7, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1205247061
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 15, 2014 (6.5643835616438 yrs)
- Last Updated
- Feb 24, 2021
- Deactivated
- Dec 7, 2020
- Licenses
-
95690 (CA)LMFT111497 (CA)
Practice Information
- Address
-
2500 E FOOTHILL BLVD STE 300PASADENA, CA, 911077102Browse CA providers · Browse ZIP 91107
- Phone
- 6266469717
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
- Additional Specialty
- Occupational Therapy Assistant
- Additional Specialty
- Marriage & Family Therapist
Other Marriage & Family Therapist Providers in PASADENA, CA
| Name | Credential | NPI |
|---|---|---|
| EMILY A. MOORE | MFT | 1801827118 |
| CHRIS TICKNER | MA, MFT | 1699793687 |
| MS. EUN KYUNG JIN | MFT | 1194747246 |
| RICHARD A FRASER | PHD | 1194748970 |
| MS. NORMA ENCARNACION | M.F.T. | 1992714646 |
| EILEEN BEIRICH | MFT | 1134138233 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.