Trenise Rahman

Individual provider Active NPI Mental Health Counselor · Newman, CA

NPI 1720733140 · NPPES record last updated Feb 8, 2024

Key facts

NPI
1720733140
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
727 Peloquin CT
Newman, CA 95360-9565
Phone
(209) 594-7072
NPI assigned
Feb 14, 2022
Sex
Female
Sole proprietor
No

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

727 Peloquin CT
Newman, CA 95360-9565

Mailing address

21 N El Circulo Ave
Patterson, CA 95363-2535

Other providers in Newman, CA

All providers in Newman, CA · Mental Health Counselor in California

Sources for this page

Verify at the official NPI Registry.