Rene Key

Individual provider Active NPI Mental Health Counselor · Alta Loma, CA

NPI 1356772867 · NPPES record last updated Dec 9, 2013

Key facts

NPI
1356772867
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
8780 19TH St
Suite 249
Alta Loma, CA 91701-4608
Phone
(909) 646-2744
NPI assigned
Dec 9, 2013
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

8780 19TH St
Suite 249
Alta Loma, CA 91701-4608

Mailing address

8780 19TH St
Suite 249
Alta Loma, CA 91701-4608
Phone (909) 646-2744

Other providers in Alta Loma, CA

All providers in Alta Loma, CA · Mental Health Counselor in California

Sources for this page

Verify at the official NPI Registry.