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Individual
MS. REINA M MICHELLE
Active
Individual
MS. REINA M MICHELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120578516
—
CA
01
—
FHC 40044F
MEDI-CAL GROUP PROVIDER #
CA
01
—
FHC 70042F
MEDI-CAL GROUP PROVIDER #
CA
01
—
ZZZ91891Z
MEDICARE GROUP PTAN#
CA
01
—
ZZZ91892Z
MEDICARE GROUP PTAN#
CA
01
—
ZZZ92069Z
MEDICARE GROUP PTAN#
CA
Enumeration date
04/01/2009
Last updated
10/17/2024
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