Renee Teresa Mares, SUDCC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

9640 Issued in CA

Practice address

4660 El Cajon Blvd Ste 210
San Diego, CA 92115-4466

Phone

(619) 597-7325

NPI assigned

Oct 2, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1487841599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 EL CAJON BLVD STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154466",
            "telephone_number": "619-597-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 EL CAJON BLVD STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154466",
            "telephone_number": "619-597-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARES",
        "first_name": "RENEE",
        "middle_name": "TERESA",
        "credential": "SUDCC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "9640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Marenco, DNP-NNP
• Antoinette Maria Marengo-Barbick, M.D.
• Marelyn Marentes Retiz
• Maribel Mares
• Nayra Mares
• Margaret K. Smith, Inc.
• Margaret Sawires, Psy.D., Psychologist Inc.
• Margaret Thurman, MFT
• Margaret V Elizondo Medical Corporation
• Kelly Margerum

• Addiction (Substance Use Disorder) Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.