Individual
RENEE YVONNE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WELLNESS COACH
Contact information
Practice address
2523 EL PORTAL DR, SAN PABLO, CA 94806-3305
(510) 215-3774
(510) 215-3770
Mailing address
13585 SAN PABLO AVE, SAN PABLO, CA 94806-3863
(510) 942-4700
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
06/22/2016
Last updated
04/30/2025
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