Individual
RENEE SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4802 E RAY RD STE 23-587, PHOENIX, AZ 85044-6405
(623) 226-8326
Mailing address
4802 E RAY RD STE 23-587, PHOENIX, AZ 85044-6405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-22889
AZ
Other
Enumeration date
09/13/2019
Last updated
10/06/2025
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