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Organization
RENOVO COUNSELING SERVICES, A LICENSED CLINICAL SOCIAL WORKER CORP.
Active
Organization
RENOVO COUNSELING SERVICES, A LICENSED CLINICAL SOCIAL WORKER CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB ANTHONY ESCOBEDO LCSW (CHIEF EXECUTIVE OFFICER)
(951) 602-3373
Entity
Organization
Contact information
Practice address
5005 LA MART DR STE 106, RIVERSIDE, CA 92507-5991
(951) 602-3373
Mailing address
5005 LA MART DR STE 106, RIVERSIDE, CA 92507-5991
(951) 602-3373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/14/2024
Last updated
06/20/2026
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