Organization
RENEE COLLEEN DAVIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE COLLEEN DAVIS LMFT (MARRIAGE & FAMILY THERAPIST)
(951) 235-2241
Entity
Organization
Contact information
Practice address
19558 EMANUEL DR, SUITE B, RIVERSIDE, CA 92508-6815
(951) 235-2241
Mailing address
19558 EMANUEL DR, RIVERSIDE, CA 92508-6815
(951) 235-2241
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MFC45046
CA
Other
Enumeration date
11/30/2007
Last updated
12/03/2007
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