Individual
AMY LE REVE RENDEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LPCC
Contact information
Practice address
12371 LEWIS ST STE 103, GARDEN GROVE, CA 92840-4687
(949) 298-7247
Mailing address
12371 LEWIS ST STE 103, GARDEN GROVE, CA 92840-4687
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
115492
CA
Other
Enumeration date
07/18/2016
Last updated
06/03/2024
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