Individual
ALBERT DE LEON RENOVATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
325 W HOSPITALITY LN, SAN BERNARDINO, CA 92408-3243
(909) 427-5000
Mailing address
325 W HOSPITALITY LN, SAN BERNARDINO, CA 92408-3243
(909) 427-5000
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
90537
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
09/25/2007
Last updated
02/25/2020
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