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Organization
PINEDALE PSYCHOLOGY, PC
Active
Organization
PINEDALE PSYCHOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE R REINECKER LMFT (OWNER)
(818) 274-2227
Entity
Organization
Contact information
Practice address
715 N CENTRAL AVE STE 108, GLENDALE, CA 91203-1225
(818) 274-2227
Mailing address
1808 4TH ST, SAN FERNANDO, CA 91340-1910
(818) 274-2227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
NULL
103TP2701X
Group Psychotherapy Psychologist
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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